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 $199.53 Median $446.68 Typical High $1,348.96 | Facility | None | $199.53 | $446.68 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $190.55 | $218.78 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $57.54 | $66.07 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $281.84 | Professional | TC · Technical part | $125.89 | $141.25 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $478.63 Typical High $891.25 | Facility | None | $407.38 | $478.63 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $380.19 Typical High $691.83 | Professional | None (both parts) | $213.80 | $380.19 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $67.61 | $100.00 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $257.04 Typical High $501.19 | Professional | TC · Technical part | $128.82 | $257.04 | $501.19 |
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 $165.96 Median $288.40 Typical High $575.44 | Professional | None (both parts) | $165.96 | $288.40 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $147.91 | Professional | 26 · Professional part | $52.48 | $70.79 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $194.98 Typical High $416.87 | Professional | TC · Technical part | $109.65 | $194.98 | $416.87 |
Denver HMP Setting Facility Modifier None Typical Low $199.53 Median $302.00 Typical High $467.74 | Facility | None | $199.53 | $302.00 | $467.74 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $407.38 | Professional | None | $190.55 | $281.84 | $407.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $91.20 | $134.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $128.82 | $186.21 | $288.40 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $338.84 Typical High $380.19 | Facility | None | $181.97 | $338.84 | $380.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $141.25 | $181.97 | $354.81 |
United Setting Facility Modifier None Typical Low $758.58 Median $812.83 Typical High $912.01 | Facility | None | $758.58 | $812.83 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $194.98 | $295.12 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $89.13 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $213.80 Typical High $323.59 | Professional | TC · Technical part | $128.82 | $213.80 | $323.59 |
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 $89.13 Median $100.00 Typical High $138.04 | Professional | 52 · Reduced service | $89.13 | $100.00 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $39.81 Typical High $54.95 | Professional | 53 · Discontinued | $35.48 | $39.81 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $151.36 Median $169.82 Typical High $186.21 | Professional | CT · Older CT scanner | $151.36 | $169.82 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $158.49 Typical High $177.83 | Professional | FX · Film X-ray | $141.25 | $158.49 | $177.83 |
Where Colorado sits
The same service costs 5.6 times more in Alaska 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
$309
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.