How much rates vary
Facilitymedian $5,370 · 10th to 90th $479 to $14,454Professionalmedian $933 · 10th to 90th $214 to $3,020
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2,818.38 Median $2,818.38 Typical High $3,162.28 | Facility | None | $2,818.38 | $2,818.38 | $3,162.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $2,818.38 Typical High $3,162.28 | Professional | None (both parts) | $2,818.38 | $2,818.38 | $3,162.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $42.66 | Professional | 26 · Professional part | $38.90 | $38.90 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,818.38 Median $2,818.38 Typical High $3,162.28 | Professional | TC · Technical part | $2,818.38 | $2,818.38 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $2,691.53 Typical High $4,466.84 | Professional | None (both parts) | $1,318.26 | $2,691.53 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $36.31 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $2,691.53 Typical High $4,365.16 | Professional | TC · Technical part | $1,288.25 | $2,691.53 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $6,025.60 Typical High $17,782.79 | Facility | None | $478.63 | $6,025.60 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $229.09 | $288.40 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $41.69 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $245.47 | $371.54 |
Hometown Health Setting Professional Modifier None Typical Low $1.58 Median $43.65 Typical High $69.18 | Professional | None | $1.58 | $43.65 | $69.18 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.45 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $0.45 | $43.65 | $63.10 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.12 Median $10.96 Typical High $19.05 | Professional | TC · Technical part | $1.12 | $10.96 | $19.05 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Select Health Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $4,265.80 | Facility | None | $52.48 | $52.48 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $371.54 Typical High $2,691.53 | Professional | None (both parts) | $223.87 | $371.54 | $2,691.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $41.69 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $1,621.81 Typical High $3,019.95 | Professional | TC · Technical part | $181.97 | $1,621.81 | $3,019.95 |
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 $1,412.54 Median $1,412.54 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,412.54 | $1,412.54 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $630.96 | Professional | 53 · Discontinued | $575.44 | $575.44 | $630.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,290.87 Median $2,290.87 Typical High $2,511.89 | Professional | FX · Film X-ray | $2,290.87 | $2,290.87 | $2,511.89 |
Where Nevada sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 13th of 51
$1,318
CO $3,715NJ $245
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.