How much rates vary
Facilitymedian $98 · 10th to 90th $45 to $209Professionalmedian $52 · 10th to 90th $34 to $85
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 $38.02 Median $63.10 Typical High $173.78 | Facility | None | $38.02 | $63.10 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $66.07 | Professional | None (both parts) | $33.88 | $38.02 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.55 Typical High $14.79 | Professional | 26 · Professional part | $8.51 | $9.55 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $47.86 | Professional | TC · Technical part | $22.91 | $29.51 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $100.00 Typical High $186.21 | Facility | None | $85.11 | $100.00 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $58.88 Typical High $89.13 | Professional | None (both parts) | $43.65 | $58.88 | $89.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.13 Typical High $20.42 | Professional | 26 · Professional part | $10.23 | $14.13 | $20.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $44.67 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $44.67 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $426.58 | Facility | None | $107.15 | $125.89 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $44.67 Typical High $83.18 | Professional | None (both parts) | $30.90 | $44.67 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.88 Typical High $25.12 | Professional | 26 · Professional part | $7.94 | $12.88 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $29.51 Typical High $57.54 | Professional | TC · Technical part | $19.95 | $29.51 | $57.54 |
Denver HMP Setting Facility Modifier None Typical Low $36.31 Median $47.86 Typical High $66.07 | Facility | None | $36.31 | $47.86 | $66.07 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $83.18 | Professional | None | $39.81 | $56.23 | $83.18 |
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 $30.20 Median $43.65 Typical High $63.10 | Professional | TC · Technical part | $30.20 | $43.65 | $63.10 |
Select Health Setting Facility Modifier None Typical Low $37.15 Median $69.18 Typical High $79.43 | Facility | None | $37.15 | $69.18 | $79.43 |
Select Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $37.15 Typical High $72.44 | Professional | None (both parts) | $28.84 | $37.15 | $72.44 |
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 $35.48 Median $48.98 Typical High $75.86 | Professional | None (both parts) | $35.48 | $48.98 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.13 Typical High $23.44 | Professional | 26 · Professional part | $10.47 | $14.13 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $53.70 | Professional | TC · Technical part | $23.44 | $33.88 | $53.70 |
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 $15.49 Median $19.05 Typical High $20.42 | Professional | 52 · Reduced service | $15.49 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.59 Typical High $8.13 | Professional | 53 · Discontinued | $6.31 | $7.59 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $30.90 Typical High $30.90 | Professional | FX · Film X-ray | $25.12 | $30.90 | $30.90 |
Where Colorado sits
The same service costs 3.6 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· 12th of 51
$53.70
AK $105FL $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.