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 $64.57 Median $120.23 Typical High $162.18 | Facility | None | $64.57 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $50.12 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $19.05 | Professional | 26 · Professional part | $15.14 | $17.78 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $34.67 | $47.86 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $316.23 | Facility | None | $144.54 | $169.82 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $151.36 | Professional | None (both parts) | $66.07 | $97.72 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $27.54 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $109.65 | Professional | TC · Technical part | $50.12 | $72.44 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $199.53 Typical High $2,187.76 | Facility | None | $117.49 | $199.53 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $64.57 Typical High $123.03 | Professional | None (both parts) | $39.81 | $64.57 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.88 Typical High $39.81 | Professional | 26 · Professional part | $15.14 | $21.88 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $43.65 Typical High $87.10 | Professional | TC · Technical part | $24.55 | $43.65 | $87.10 |
Denver HMP Setting Facility Modifier None Typical Low $57.54 Median $64.57 Typical High $114.82 | Facility | None | $57.54 | $64.57 | $114.82 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $141.25 | Professional | None | $67.61 | $97.72 | $141.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.70 Typical High $38.02 | Professional | 26 · Professional part | $17.78 | $25.70 | $38.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $70.79 Typical High $104.71 | Professional | TC · Technical part | $48.98 | $70.79 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $120.23 Typical High $134.90 | Facility | None | $64.57 | $120.23 | $134.90 |
Select Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $125.89 | Professional | None (both parts) | $50.12 | $64.57 | $125.89 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,884.03 | Facility | None | $2,398.83 | $2,511.89 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $74.13 Typical High $123.03 | Professional | None (both parts) | $46.77 | $74.13 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.44 Typical High $37.15 | Professional | 26 · Professional part | $16.22 | $23.44 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $51.29 Typical High $87.10 | Professional | TC · Technical part | $29.51 | $51.29 | $87.10 |
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 $25.12 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $25.12 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $10.00 | $12.88 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $52.48 Typical High $52.48 | Professional | FX · Film X-ray | $42.66 | $52.48 | $52.48 |
Where Colorado sits
The same service costs 5.6 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· 14th of 51
$87.10
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.