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 $39.81 Median $120.23 Typical High $162.18 | Facility | None | $39.81 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $39.81 Typical High $42.66 | Professional | None (both parts) | $31.62 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.32 Typical High $9.55 | Professional | 26 · Professional part | $7.24 | $8.32 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $31.62 Typical High $32.36 | Professional | TC · Technical part | $24.55 | $31.62 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $102.33 Typical High $190.55 | Facility | None | $87.10 | $102.33 | $190.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $60.26 Typical High $93.33 | Professional | None (both parts) | $43.65 | $60.26 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.88 Typical High $19.05 | Professional | 26 · Professional part | $9.33 | $12.88 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $50.12 Typical High $74.13 | Professional | TC · Technical part | $35.48 | $50.12 | $74.13 |
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 $32.36 Median $44.67 Typical High $81.28 | Professional | None (both parts) | $32.36 | $44.67 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.72 Typical High $19.05 | Professional | 26 · Professional part | $7.24 | $10.72 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.11 Typical High $64.57 | Professional | TC · Technical part | $23.99 | $33.11 | $64.57 |
Denver HMP Setting Facility Modifier None Typical Low $35.48 Median $50.12 Typical High $77.62 | Facility | None | $35.48 | $50.12 | $77.62 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $85.11 | Professional | None | $40.74 | $58.88 | $85.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.30 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $12.30 | $17.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $45.71 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $45.71 | $67.61 |
Select Health Setting Facility Modifier None Typical Low $38.90 Median $70.79 Typical High $81.28 | Facility | None | $38.90 | $70.79 | $81.28 |
Select Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.90 Typical High $75.86 | Professional | None (both parts) | $30.20 | $38.90 | $75.86 |
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 $35.48 Median $48.98 Typical High $75.86 | Professional | None (both parts) | $35.48 | $48.98 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $8.32 | $11.75 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $38.90 | $58.88 |
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 $15.85 Median $19.95 Typical High $21.38 | Professional | 52 · Reduced service | $15.85 | $19.95 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.94 Typical High $8.51 | Professional | 53 · Discontinued | $6.31 | $7.94 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $31.62 Typical High $31.62 | Professional | FX · Film X-ray | $26.30 | $31.62 | $31.62 |
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· 13th of 51
$54.95
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.