How much rates vary
Facilitymedian $79 · 10th to 90th $33 to $162Professionalmedian $45 · 10th to 90th $27 to $72
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 $33.11 Median $42.66 Typical High $120.23 | Facility | None | $33.11 | $42.66 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $36.31 Typical High $112.20 | Facility | TC · Technical part | $23.99 | $36.31 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $27.54 | $33.11 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.91 Typical High $14.79 | Professional | 26 · Professional part | $7.76 | $8.91 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $19.05 | $23.99 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $87.10 Typical High $162.18 | Facility | None | $74.13 | $87.10 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $51.29 Typical High $77.62 | Professional | None (both parts) | $36.31 | $51.29 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.80 Typical High $20.42 | Professional | 26 · Professional part | $10.00 | $13.80 | $20.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.02 Typical High $57.54 | Professional | TC · Technical part | $26.92 | $38.02 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $125.89 Typical High $354.81 | Facility | None | $89.13 | $125.89 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $35.48 Typical High $66.07 | Professional | None (both parts) | $23.44 | $35.48 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $10.72 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $24.55 Typical High $48.98 | Professional | TC · Technical part | $15.49 | $24.55 | $48.98 |
Denver HMP Setting Facility Modifier None Typical Low $30.20 Median $37.15 Typical High $63.10 | Facility | None | $30.20 | $37.15 | $63.10 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $70.79 | Professional | None | $33.88 | $48.98 | $70.79 |
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 $25.12 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $25.12 | $35.48 | $52.48 |
Select Health Setting Facility Modifier None Typical Low $32.36 Median $60.26 Typical High $67.61 | Facility | None | $32.36 | $60.26 | $67.61 |
Select Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $63.10 | Professional | None (both parts) | $25.12 | $32.36 | $63.10 |
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 $26.30 Median $40.74 Typical High $63.10 | Professional | None (both parts) | $26.30 | $40.74 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $8.32 | $12.30 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.84 Typical High $44.67 | Professional | TC · Technical part | $18.20 | $28.84 | $44.67 |
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 $13.18 Median $16.60 Typical High $17.38 | Professional | 52 · Reduced service | $13.18 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.61 Typical High $6.92 | Professional | 53 · Discontinued | $5.25 | $6.61 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $26.30 Typical High $26.30 | Professional | FX · Film X-ray | $21.88 | $26.30 | $26.30 |
Where Colorado sits
The same service costs 4.3 times more in Alaska than in New York. 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· 13th of 51
$45.71
AK $93.33NY $21.88
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.