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 $173.78 Median $426.58 Typical High $1,230.27 | Facility | None | $173.78 | $426.58 | $1,230.27 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $181.97 Typical High $537.03 | Facility | TC · Technical part | $114.82 | $181.97 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $380.19 | Professional | None (both parts) | $169.82 | $190.55 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $54.95 | $58.88 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $288.40 | Professional | TC · Technical part | $114.82 | $125.89 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $426.58 Typical High $794.33 | Facility | None | $354.81 | $426.58 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $190.55 | $371.54 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $61.66 | $89.13 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $112.20 | $239.88 | $436.52 |
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 $144.54 Median $263.03 Typical High $524.81 | Professional | None (both parts) | $144.54 | $263.03 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $131.83 | Professional | 26 · Professional part | $47.86 | $70.79 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $177.83 Typical High $389.05 | Professional | TC · Technical part | $97.72 | $177.83 | $389.05 |
Denver HMP Setting Facility Modifier None Typical Low $173.78 Median $263.03 Typical High $467.74 | Facility | None | $173.78 | $263.03 | $467.74 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $354.81 | Professional | None | $165.96 | $245.47 | $354.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $81.28 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $251.19 | Professional | TC · Technical part | $112.20 | $162.18 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $295.12 Typical High $331.13 | Facility | None | $158.49 | $295.12 | $331.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $123.03 | $158.49 | $309.03 |
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 $169.82 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $169.82 | $281.84 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $53.70 | $81.28 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $199.53 Typical High $281.84 | Professional | TC · Technical part | $112.20 | $199.53 | $281.84 |
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 $77.62 Median $87.10 Typical High $125.89 | Professional | 52 · Reduced service | $77.62 | $87.10 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $34.67 Typical High $50.12 | Professional | 53 · Discontinued | $30.90 | $34.67 | $50.12 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $131.83 Median $147.91 Typical High $162.18 | Professional | CT · Older CT scanner | $131.83 | $147.91 | $162.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $138.04 Typical High $154.88 | Professional | FX · Film X-ray | $123.03 | $138.04 | $154.88 |
Where Colorado sits
The same service costs 5.9 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· 21st of 51
$288
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.