How much rates vary
Facilitymedian $204 · 10th to 90th $110 to $562Professionalmedian $123 · 10th to 90th $76 to $200
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 $87.10 Median $120.23 Typical High $162.18 | Facility | None | $87.10 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $93.33 | Professional | None (both parts) | $70.79 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $30.20 | Professional | 26 · Professional part | $23.44 | $26.30 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $61.66 | Professional | TC · Technical part | $50.12 | $60.26 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $416.87 | Facility | None | $190.55 | $223.87 | $416.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $97.72 | $138.04 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $42.66 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $100.00 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $478.63 Typical High $977.24 | Facility | None | $117.49 | $478.63 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $70.79 | $107.15 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $22.91 | $34.67 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $72.44 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $72.44 | $123.03 |
Denver HMP Setting Facility Modifier None Typical Low $77.62 Median $112.20 Typical High $173.78 | Facility | None | $77.62 | $112.20 | $173.78 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $181.97 | Professional | None | $87.10 | $125.89 | $181.97 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $38.02 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $87.10 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $173.78 | Facility | None | $83.18 | $154.88 | $173.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $162.18 | Professional | None (both parts) | $66.07 | $85.11 | $162.18 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,258.93 | Facility | None | $1,047.13 | $1,096.48 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $79.43 | $117.49 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $58.88 | Professional | 26 · Professional part | $25.70 | $36.31 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $77.62 Typical High $114.82 | Professional | TC · Technical part | $50.12 | $77.62 | $114.82 |
4 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 $35.48 Median $42.66 Typical High $46.77 | Professional | 52 · Reduced service | $35.48 | $42.66 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $17.38 Typical High $18.62 | Professional | 53 · Discontinued | $14.45 | $17.38 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $69.18 Typical High $69.18 | Professional | FX · Film X-ray | $60.26 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $87.10 Median $123.03 Typical High $158.49 | Professional | 50 · Both sides | $87.10 | $123.03 | $158.49 |
Where Colorado sits
The same service costs 3.7 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
$126
AK $251FL $67.61
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.