How much rates vary
Facilitymedian $355 · 10th to 90th $224 to $6,026Professionalmedian $427 · 10th to 90th $105 to $3,090
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 $2,884.03 Median $2,884.03 Typical High $3,162.28 | Facility | None | $2,884.03 | $2,884.03 | $3,162.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $2,884.03 Typical High $3,162.28 | Professional | None (both parts) | $117.49 | $2,884.03 | $3,162.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $83.18 | $91.20 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $2,818.38 Typical High $3,162.28 | Professional | TC · Technical part | $87.10 | $2,818.38 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $354.81 | Facility | None | $223.87 | $354.81 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,691.53 Typical High $4,466.84 | Professional | None (both parts) | $1,445.44 | $2,691.53 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $83.18 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $2,691.53 Typical High $4,365.16 | Professional | TC · Technical part | $1,412.54 | $2,691.53 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $6,025.60 Typical High $17,782.79 | Facility | None | $100.00 | $6,025.60 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $104.71 | $138.04 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $95.50 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $44.67 Typical High $74.13 | Professional | TC · Technical part | $34.67 | $44.67 | $74.13 |
Hometown Health Setting Professional Modifier None Typical Low $1.12 Median $109.65 Typical High $436.52 | Professional | None | $1.12 | $109.65 | $436.52 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.85 Median $102.33 Typical High $165.96 | Professional | 26 · Professional part | $0.85 | $102.33 | $165.96 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.27 Median $3.09 Typical High $269.15 | Professional | TC · Technical part | $0.27 | $3.09 | $269.15 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Select Health Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $4,265.80 | Facility | None | $269.15 | $269.15 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $269.15 Typical High $2,754.23 | Professional | None (both parts) | $107.15 | $269.15 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $93.33 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $93.33 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $1,621.81 Typical High $3,019.95 | Professional | TC · Technical part | $31.62 | $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 $1,445.44 Median $1,445.44 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $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 26.3 times more in Colorado than in New Mexico. 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· 28th of 51
$389
CO $3,467NM $132
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.