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 $147.91 Median $416.87 Typical High $1,230.27 | Facility | None | $147.91 | $416.87 | $1,230.27 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $75.86 | Facility | 26 · Professional part | $44.67 | $66.07 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $467.74 | Facility | TC · Technical part | $102.33 | $158.49 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $165.96 Typical High $338.84 | Professional | None (both parts) | $138.04 | $165.96 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $42.66 | $48.98 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $223.87 | Professional | TC · Technical part | $97.72 | $112.20 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $363.08 Typical High $660.69 | Facility | None | $302.00 | $363.08 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $158.49 | $316.23 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $67.61 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $204.17 Typical High $389.05 | Professional | TC · Technical part | $97.72 | $204.17 | $389.05 |
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 $123.03 Median $213.80 Typical High $446.68 | Professional | None (both parts) | $123.03 | $213.80 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $112.20 | Professional | 26 · Professional part | $36.31 | $54.95 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $154.88 Typical High $323.59 | Professional | TC · Technical part | $85.11 | $154.88 | $323.59 |
Denver HMP Setting Facility Modifier None Typical Low $147.91 Median $218.78 Typical High $389.05 | Facility | None | $147.91 | $218.78 | $389.05 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $316.23 | Professional | None | $141.25 | $208.93 | $316.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $42.66 | $61.66 | $91.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $144.54 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $251.19 Typical High $281.84 | Facility | None | $134.90 | $251.19 | $281.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $263.03 | Professional | None (both parts) | $104.71 | $134.90 | $263.03 |
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 $141.25 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $141.25 | $234.42 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $64.57 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $173.78 Typical High $239.88 | Professional | TC · Technical part | $97.72 | $173.78 | $239.88 |
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 $64.57 Median $74.13 Typical High $104.71 | Professional | 52 · Reduced service | $64.57 | $74.13 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $29.51 Typical High $41.69 | Professional | 53 · Discontinued | $25.70 | $29.51 | $41.69 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $109.65 Median $125.89 Typical High $141.25 | Professional | CT · Older CT scanner | $109.65 | $125.89 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $117.49 Typical High $131.83 | Professional | FX · Film X-ray | $102.33 | $117.49 | $131.83 |
Where Colorado sits
The same service costs 4.9 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· 19th of 51
$234
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.