How much rates vary
Facilitymedian $112 · 10th to 90th $56 to $229Professionalmedian $65 · 10th to 90th $42 to $105
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 $47.86 Median $61.66 Typical High $120.23 | Facility | None | $47.86 | $61.66 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $47.86 Typical High $79.43 | Professional | None (both parts) | $41.69 | $47.86 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $21.38 | Professional | 26 · Professional part | $13.18 | $13.80 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $53.70 | Professional | TC · Technical part | $28.18 | $33.88 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $229.09 | Facility | None | $104.71 | $123.03 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $70.79 Typical High $109.65 | Professional | None (both parts) | $47.86 | $70.79 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.88 Typical High $31.62 | Professional | 26 · Professional part | $15.85 | $21.88 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $51.29 Typical High $77.62 | Professional | TC · Technical part | $38.02 | $51.29 | $77.62 |
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 $39.81 Median $57.54 Typical High $104.71 | Professional | None (both parts) | $39.81 | $57.54 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.05 Typical High $37.15 | Professional | 26 · Professional part | $12.30 | $19.05 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $25.12 | $36.31 | $67.61 |
Denver HMP Setting Facility Modifier None Typical Low $44.67 Median $61.66 Typical High $93.33 | Facility | None | $44.67 | $61.66 | $93.33 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $100.00 | Professional | None | $47.86 | $69.18 | $100.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.95 Typical High $29.51 | Professional | 26 · Professional part | $14.13 | $19.95 | $29.51 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $48.98 Typical High $72.44 | Professional | TC · Technical part | $33.88 | $48.98 | $72.44 |
Select Health Setting Facility Modifier None Typical Low $45.71 Median $85.11 Typical High $95.50 | Facility | None | $45.71 | $85.11 | $95.50 |
Select Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $46.77 Typical High $89.13 | Professional | None (both parts) | $36.31 | $46.77 | $89.13 |
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 $44.67 Median $63.10 Typical High $93.33 | Professional | None (both parts) | $44.67 | $63.10 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $20.42 Typical High $32.36 | Professional | 26 · Professional part | $14.79 | $20.42 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $40.74 Typical High $63.10 | Professional | TC · Technical part | $28.84 | $40.74 | $63.10 |
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 $19.50 Median $23.44 Typical High $25.70 | Professional | 52 · Reduced service | $19.50 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.55 Typical High $10.23 | Professional | 53 · Discontinued | $7.94 | $9.55 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $38.02 Typical High $38.02 | Professional | FX · Film X-ray | $31.62 | $38.02 | $38.02 |
Where Colorado sits
The same service costs 4.0 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· 12th of 51
$66.07
AK $132UT $33.11
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.