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 $346.74 Median $933.25 Typical High $1,995.26 | Facility | None | $346.74 | $933.25 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $346.74 Typical High $741.31 | Professional | None (both parts) | $295.12 | $346.74 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $89.13 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $218.78 | $263.03 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $724.44 Typical High $1,348.96 | Facility | None | $616.60 | $724.44 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $602.56 Typical High $1,047.13 | Professional | None (both parts) | $323.59 | $602.56 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $114.82 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $436.52 Typical High $870.96 | Professional | TC · Technical part | $218.78 | $436.52 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $831.76 | Facility | None | $117.49 | $125.89 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $446.68 Typical High $891.25 | Professional | None (both parts) | $257.04 | $446.68 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $173.78 | Professional | 26 · Professional part | $61.66 | $83.18 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $331.13 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $331.13 | $660.69 |
Denver HMP Setting Facility Modifier None Typical Low $346.74 Median $501.19 Typical High $758.58 | Facility | None | $346.74 | $501.19 | $758.58 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $645.65 | Professional | None | $288.40 | $416.87 | $645.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $104.71 | $158.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $501.19 | Professional | TC · Technical part | $213.80 | $316.23 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $501.19 Typical High $575.44 | Facility | None | $275.42 | $501.19 | $575.44 |
Select Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $537.03 | Professional | None (both parts) | $213.80 | $275.42 | $537.03 |
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 $316.23 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $316.23 | $478.63 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $104.71 Typical High $173.78 | Professional | 26 · Professional part | $63.10 | $104.71 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $380.19 Typical High $588.84 | Professional | TC · Technical part | $234.42 | $380.19 | $588.84 |
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 $138.04 Median $173.78 Typical High $251.19 | Professional | 52 · Reduced service | $138.04 | $173.78 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $69.18 Typical High $102.33 | Professional | 53 · Discontinued | $54.95 | $69.18 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $281.84 Typical High $338.84 | Professional | FX · Film X-ray | $218.78 | $281.84 | $338.84 |
Where Colorado sits
The same service costs 5.5 times more in Wyoming 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· 18th of 51
$490
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.