How much rates vary
Facilitymedian $275 · 10th to 90th $123 to $891Professionalmedian $186 · 10th to 90th $110 to $417
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 $123.03 Median $331.13 Typical High $1,230.27 | Facility | None | $123.03 | $331.13 | $1,230.27 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $69.18 | Facility | 26 · Professional part | $43.65 | $54.95 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $123.03 Typical High $208.93 | Facility | TC · Technical part | $77.62 | $123.03 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $120.23 | $151.36 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $43.65 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $77.62 | $91.20 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $549.54 | Facility | None | $251.19 | $295.12 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $120.23 | $263.03 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $67.61 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $162.18 Typical High $346.74 | Professional | TC · Technical part | $74.13 | $162.18 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $537.03 | Facility | None | $117.49 | $125.89 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $173.78 Typical High $380.19 | Professional | None (both parts) | $102.33 | $173.78 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $107.15 | Professional | 26 · Professional part | $35.48 | $47.86 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $117.49 Typical High $269.15 | Professional | TC · Technical part | $64.57 | $117.49 | $269.15 |
Denver HMP Setting Facility Modifier None Typical Low $123.03 Median $181.97 Typical High $331.13 | Facility | None | $123.03 | $181.97 | $331.13 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $263.03 | Professional | None | $117.49 | $169.82 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $61.66 | $89.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $165.96 | Professional | TC · Technical part | $74.13 | $109.65 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $204.17 Typical High $234.42 | Facility | None | $112.20 | $204.17 | $234.42 |
Select Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $218.78 | Professional | None (both parts) | $87.10 | $112.20 | $218.78 |
United Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $549.54 | Facility | None | $457.09 | $478.63 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $117.49 | $190.55 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $60.26 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $128.82 Typical High $190.55 | Professional | TC · Technical part | $74.13 | $128.82 | $190.55 |
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 $53.70 Median $61.66 Typical High $87.10 | Professional | 52 · Reduced service | $53.70 | $61.66 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $34.67 | Professional | 53 · Discontinued | $21.38 | $24.55 | $34.67 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $91.20 Median $104.71 Typical High $114.82 | Professional | CT · Older CT scanner | $91.20 | $104.71 | $114.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $97.72 Typical High $109.65 | Professional | FX · Film X-ray | $85.11 | $97.72 | $109.65 |
Where Colorado sits
The same service costs 20.4 times more in Vermont 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· 20th of 51
$195
VT $1,585UT $77.62
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.