How much rates vary
Facilitymedian $87 · 10th to 90th $40 to $166Professionalmedian $46 · 10th to 90th $30 to $74
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 $33.88 Median $52.48 Typical High $162.18 | Facility | None | $33.88 | $52.48 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.88 Typical High $57.54 | Professional | None (both parts) | $27.54 | $33.88 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.00 Typical High $16.22 | Professional | 26 · Professional part | $8.51 | $10.00 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $18.62 | $23.99 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $89.13 Typical High $165.96 | Facility | None | $75.86 | $89.13 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $34.67 | $50.12 | $79.43 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.49 Typical High $22.91 | Professional | 26 · Professional part | $10.96 | $15.49 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $56.23 | Professional | TC · Technical part | $26.92 | $38.90 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $125.89 Typical High $354.81 | Facility | None | $89.13 | $125.89 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $25.12 | $38.90 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.30 Typical High $22.39 | Professional | 26 · Professional part | $8.32 | $12.30 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $25.12 Typical High $47.86 | Professional | TC · Technical part | $16.98 | $25.12 | $47.86 |
Denver HMP Setting Facility Modifier None Typical Low $30.20 Median $41.69 Typical High $69.18 | Facility | None | $30.20 | $41.69 | $69.18 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $72.44 | Professional | None | $34.67 | $50.12 | $72.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $10.47 | $14.79 | $21.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $51.29 | Professional | TC · Technical part | $24.55 | $35.48 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $33.11 Median $61.66 Typical High $69.18 | Facility | None | $33.11 | $61.66 | $69.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $25.70 | $33.11 | $64.57 |
United Setting Facility Modifier None Typical Low $380.19 Median $398.11 Typical High $457.09 | Facility | None | $380.19 | $398.11 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $42.66 Typical High $66.07 | Professional | None (both parts) | $29.51 | $42.66 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.49 Typical High $21.88 | Professional | 26 · Professional part | $9.12 | $13.49 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.84 Typical High $44.67 | Professional | TC · Technical part | $19.50 | $28.84 | $44.67 |
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 $13.80 Median $16.98 Typical High $17.78 | Professional | 52 · Reduced service | $13.80 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.76 Typical High $7.08 | Professional | 53 · Discontinued | $5.50 | $6.76 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $26.92 Typical High $26.92 | Professional | FX · Film X-ray | $22.39 | $26.92 | $26.92 |
Where Colorado sits
The same service costs 3.8 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· 15th of 51
$46.77
AK $95.50FL $25.12
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.