How much rates vary
Facilitymedian $110 · 10th to 90th $46 to $209Professionalmedian $55 · 10th to 90th $33 to $89
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 $40.74 Median $120.23 Typical High $162.18 | Facility | None | $40.74 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $44.67 | Professional | None (both parts) | $33.11 | $40.74 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.91 Typical High $10.47 | Professional | 26 · Professional part | $7.76 | $8.91 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $33.11 | Professional | TC · Technical part | $25.70 | $31.62 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $109.65 Typical High $204.17 | Facility | None | $91.20 | $109.65 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $61.66 Typical High $95.50 | Professional | None (both parts) | $40.74 | $61.66 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.80 Typical High $19.95 | Professional | 26 · Professional part | $10.00 | $13.80 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $48.98 Typical High $74.13 | Professional | TC · Technical part | $35.48 | $48.98 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $426.58 | Facility | None | $107.15 | $165.96 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $42.66 Typical High $79.43 | Professional | None (both parts) | $28.84 | $42.66 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.48 Typical High $20.42 | Professional | 26 · Professional part | $7.59 | $11.48 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $31.62 Typical High $61.66 | Professional | TC · Technical part | $20.89 | $31.62 | $61.66 |
Denver HMP Setting Facility Modifier None Typical Low $36.31 Median $48.98 Typical High $60.26 | Facility | None | $36.31 | $48.98 | $60.26 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $89.13 | Professional | None | $42.66 | $61.66 | $89.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.18 Typical High $19.50 | Professional | 26 · Professional part | $9.33 | $13.18 | $19.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $70.79 | Professional | TC · Technical part | $33.11 | $47.86 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $75.86 Typical High $85.11 | Facility | None | $40.74 | $75.86 | $85.11 |
Select Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $40.74 Typical High $79.43 | Professional | None (both parts) | $30.90 | $40.74 | $79.43 |
United Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $549.54 | Facility | None | $457.09 | $478.63 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $48.98 Typical High $75.86 | Professional | None (both parts) | $33.11 | $48.98 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.30 Typical High $19.50 | Professional | 26 · Professional part | $8.71 | $12.30 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $36.31 Typical High $58.88 | Professional | TC · Technical part | $23.99 | $36.31 | $58.88 |
4 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 $15.85 Median $20.42 Typical High $20.89 | Professional | 52 · Reduced service | $15.85 | $20.42 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $8.13 Typical High $8.32 | Professional | 53 · Discontinued | $6.31 | $8.13 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $26.92 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $52.48 Typical High $75.86 | Professional | 50 · Both sides | $39.81 | $52.48 | $75.86 |
Where Colorado sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 11th of 51
$56.23
AK $112FL $28.84
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.