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 $120.23 Median $162.18 Typical High $173.78 | Facility | None | $120.23 | $162.18 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $177.83 | Professional | None (both parts) | $138.04 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $67.61 | Professional | 26 · Professional part | $50.12 | $57.54 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $117.49 | Professional | TC · Technical part | $93.33 | $114.82 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $446.68 Typical High $831.76 | Facility | None | $380.19 | $446.68 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $194.98 | $275.42 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $93.33 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $125.89 | $181.97 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $1,202.26 Typical High $3,162.28 | Facility | None | $117.49 | $1,202.26 | $3,162.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $125.89 | $181.97 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $48.98 | $72.44 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $70.79 | $112.20 | $218.78 |
Denver HMP Setting Facility Modifier None Typical Low $151.36 Median $186.21 Typical High $245.47 | Facility | None | $151.36 | $186.21 | $245.47 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $251.19 Typical High $371.54 | Professional | None | $177.83 | $251.19 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $83.18 | $123.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $117.49 | $169.82 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $165.96 Median $309.03 Typical High $354.81 | Facility | None | $165.96 | $309.03 | $354.81 |
Select Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $131.83 | $169.82 | $323.59 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $4,073.80 | Facility | None | $3,388.44 | $3,630.78 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $134.90 | $213.80 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $128.82 | Professional | 26 · Professional part | $58.88 | $79.43 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $79.43 | $138.04 | $218.78 |
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 $70.79 Median $87.10 Typical High $93.33 | Professional | 52 · Reduced service | $70.79 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $34.67 Typical High $37.15 | Professional | 53 · Discontinued | $28.18 | $34.67 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $120.23 | $138.04 | $138.04 |
Where Colorado sits
The same service costs 4.3 times more in Alaska than in Utah. 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.
Colorado· 12th of 51
$240
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.