How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $102.33 | Facility | None | $93.33 | $93.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $93.33 | $93.33 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | 26 · Professional part | $66.07 | $66.07 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $56.23 | Professional | TC · Technical part | $26.30 | $26.30 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $125.89 Typical High $125.89 | Facility | None | $77.62 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $190.55 | Professional | None (both parts) | $87.10 | $87.10 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $141.25 | Professional | 26 · Professional part | $61.66 | $61.66 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $50.12 | Professional | TC · Technical part | $24.55 | $24.55 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $95.50 Typical High $251.19 | Professional | None (both parts) | $85.11 | $95.50 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $66.07 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $31.62 Typical High $181.97 | Professional | TC · Technical part | $26.92 | $31.62 | $181.97 |
Hometown Health Setting Professional Modifier None Typical Low $1.48 Median $95.50 Typical High $162.18 | Professional | None | $1.48 | $95.50 | $162.18 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.71 Median $67.61 Typical High $114.82 | Professional | 26 · Professional part | $0.71 | $67.61 | $114.82 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.78 Median $27.54 Typical High $48.98 | Professional | TC · Technical part | $0.78 | $27.54 | $48.98 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $4,265.80 | Facility | None | $95.50 | $95.50 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $316.23 | Professional | None (both parts) | $93.33 | $107.15 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $48.98 | $69.18 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $128.82 | Professional | TC · Technical part | $25.70 | $25.70 | $128.82 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $51.29 | Professional | 52 · Reduced service | $45.71 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $20.42 | Professional | 53 · Discontinued | $18.62 | $18.62 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | FX · Film X-ray | $74.13 | $74.13 | $81.28 |
Where Nevada sits
The same service costs 5.2 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nevada· 43rd of 51
$95.50
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.