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 $39.81 Median $60.26 Typical High $120.23 | Facility | None | $39.81 | $60.26 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $30.90 | $39.81 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $13.80 | Professional | 26 · Professional part | $7.41 | $8.51 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $51.29 | Professional | TC · Technical part | $23.99 | $31.62 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $194.98 | Facility | None | $89.13 | $104.71 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $60.26 Typical High $93.33 | Professional | None (both parts) | $42.66 | $60.26 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.49 Typical High $19.95 | Professional | 26 · Professional part | $9.55 | $13.49 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $74.13 | Professional | TC · Technical part | $34.67 | $47.86 | $74.13 |
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 $27.54 Median $42.66 Typical High $79.43 | Professional | None (both parts) | $27.54 | $42.66 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.96 Typical High $19.05 | Professional | 26 · Professional part | $7.08 | $10.96 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.90 Typical High $58.88 | Professional | TC · Technical part | $19.95 | $30.90 | $58.88 |
Denver HMP Setting Facility Modifier None Typical Low $36.31 Median $42.66 Typical High $63.10 | Facility | None | $36.31 | $42.66 | $63.10 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $87.10 | Professional | None | $41.69 | $58.88 | $87.10 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.88 Typical High $18.62 | Professional | 26 · Professional part | $8.91 | $12.88 | $18.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $46.77 | $67.61 |
Select Health Setting Facility Modifier None Typical Low $38.90 Median $72.44 Typical High $83.18 | Facility | None | $38.90 | $72.44 | $83.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.90 Typical High $75.86 | Professional | None (both parts) | $30.20 | $38.90 | $75.86 |
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 $31.62 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $31.62 | $47.86 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $18.62 | Professional | 26 · Professional part | $8.32 | $11.75 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $36.31 Typical High $58.88 | Professional | TC · Technical part | $22.91 | $36.31 | $58.88 |
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 $15.85 Median $19.95 Typical High $20.42 | Professional | 52 · Reduced service | $15.85 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.94 Typical High $8.13 | Professional | 53 · Discontinued | $6.31 | $7.94 | $8.13 |
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 |
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· 13th of 51
$54.95
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.