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 $169.82 Median $446.68 Typical High $1,348.96 | Facility | None | $169.82 | $446.68 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $165.96 | $190.55 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $66.07 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $218.78 | Professional | TC · Technical part | $100.00 | $114.82 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $776.25 | Facility | None | $354.81 | $416.87 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $162.18 | $331.13 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $100.00 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $223.87 Typical High $398.11 | Professional | TC · Technical part | $102.33 | $223.87 | $398.11 |
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 $245.47 Typical High $489.78 | Professional | None (both parts) | $144.54 | $245.47 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $147.91 | Professional | 26 · Professional part | $53.70 | $70.79 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $162.18 Typical High $331.13 | Professional | TC · Technical part | $89.13 | $162.18 | $331.13 |
Denver HMP Setting Facility Modifier None Typical Low $169.82 Median $245.47 Typical High $389.05 | Facility | None | $169.82 | $245.47 | $389.05 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $354.81 | Professional | None | $165.96 | $239.88 | $354.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $93.33 | $134.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $147.91 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $288.40 Typical High $331.13 | Facility | None | $154.88 | $288.40 | $331.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $123.03 | $158.49 | $302.00 |
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 $165.96 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $165.96 | $257.04 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $53.70 | $89.13 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $177.83 Typical High $251.19 | Professional | TC · Technical part | $107.15 | $177.83 | $251.19 |
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 $75.86 Median $85.11 Typical High $114.82 | Professional | 52 · Reduced service | $75.86 | $85.11 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $34.67 Typical High $45.71 | Professional | 53 · Discontinued | $30.20 | $34.67 | $45.71 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $128.82 Median $144.54 Typical High $162.18 | Professional | CT · Older CT scanner | $128.82 | $144.54 | $162.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $138.04 Typical High $151.36 | Professional | FX · Film X-ray | $123.03 | $138.04 | $151.36 |
Where Colorado sits
The same service costs 5.8 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
$263
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.