How much rates vary
Facilitymedian $54 · 10th to 90th $26 to $174Professionalmedian $26 · 10th to 90th $15 to $44
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 $19.95 Median $120.23 Typical High $162.18 | Facility | None | $19.95 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $19.95 Typical High $32.36 | Professional | None (both parts) | $17.78 | $19.95 | $32.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.23 Typical High $16.22 | Professional | 26 · Professional part | $9.12 | $10.23 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $9.55 Typical High $16.22 | Professional | TC · Technical part | $7.94 | $9.55 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $53.70 Typical High $100.00 | Facility | None | $45.71 | $53.70 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.02 Median $25.70 Typical High $41.69 | Professional | None (both parts) | $12.02 | $25.70 | $41.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.22 Typical High $23.99 | Professional | 26 · Professional part | $11.48 | $16.22 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $14.45 Typical High $23.99 | Professional | TC · Technical part | $10.00 | $14.45 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $354.81 | Facility | None | $83.18 | $125.89 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $26.92 Typical High $50.12 | Professional | None (both parts) | $16.98 | $26.92 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.18 Typical High $23.99 | Professional | 26 · Professional part | $8.71 | $13.18 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $12.88 Typical High $25.12 | Professional | TC · Technical part | $7.76 | $12.88 | $25.12 |
Denver HMP Setting Facility Modifier None Typical Low $18.62 Median $28.18 Typical High $43.65 | Facility | None | $18.62 | $28.18 | $43.65 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $44.67 | Professional | None | $20.89 | $30.20 | $44.67 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.49 Typical High $22.39 | Professional | 26 · Professional part | $10.72 | $15.49 | $22.39 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $14.79 Typical High $21.88 | Professional | TC · Technical part | $10.23 | $14.79 | $21.88 |
Select Health Setting Facility Modifier None Typical Low $19.95 Median $37.15 Typical High $42.66 | Facility | None | $19.95 | $37.15 | $42.66 |
Select Health Setting Professional Modifier None (both parts) Typical Low $15.14 Median $19.95 Typical High $38.90 | Professional | None (both parts) | $15.14 | $19.95 | $38.90 |
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 $19.50 Median $29.51 Typical High $44.67 | Professional | None (both parts) | $19.50 | $29.51 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.13 Typical High $22.91 | Professional | 26 · Professional part | $9.77 | $14.13 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $13.80 Typical High $20.89 | Professional | TC · Technical part | $9.12 | $13.80 | $20.89 |
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 $7.76 Median $10.00 Typical High $10.96 | Professional | 52 · Reduced service | $7.76 | $10.00 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.98 Typical High $4.37 | Professional | 53 · Discontinued | $3.16 | $3.98 | $4.37 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.59 Median $15.85 Typical High $15.85 | Professional | FX · Film X-ray | $12.59 | $15.85 | $15.85 |
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· 21st of 51
$26.30
AK $56.23FL $15.49
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.