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 $251.19 Median $549.54 Typical High $1,348.96 | Facility | None | $251.19 | $549.54 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $245.47 | $275.42 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $83.18 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $177.83 Typical High $346.74 | Professional | TC · Technical part | $162.18 | $177.83 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $616.60 Typical High $1,148.15 | Facility | None | $524.81 | $616.60 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $467.74 Typical High $870.96 | Professional | None (both parts) | $263.03 | $467.74 | $870.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $181.97 | Professional | 26 · Professional part | $87.10 | $125.89 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $331.13 Typical High $645.65 | Professional | TC · Technical part | $165.96 | $331.13 | $645.65 |
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 $213.80 Median $354.81 Typical High $691.83 | Professional | None (both parts) | $213.80 | $354.81 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $186.21 | Professional | 26 · Professional part | $64.57 | $83.18 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $257.04 Typical High $501.19 | Professional | TC · Technical part | $144.54 | $257.04 | $501.19 |
Denver HMP Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $537.03 | Facility | None | $251.19 | $363.08 | $537.03 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $501.19 | Professional | None | $239.88 | $354.81 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $114.82 | $169.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $162.18 | $239.88 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $426.58 Typical High $478.63 | Facility | None | $229.09 | $426.58 | $478.63 |
Select Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $181.97 | $234.42 | $446.68 |
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 $251.19 Median $380.19 Typical High $602.56 | Professional | None (both parts) | $251.19 | $380.19 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $109.65 Typical High $177.83 | Professional | 26 · Professional part | $63.10 | $109.65 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $173.78 | $281.84 | $407.38 |
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 $112.20 Median $125.89 Typical High $169.82 | Professional | 52 · Reduced service | $112.20 | $125.89 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $50.12 Typical High $67.61 | Professional | 53 · Discontinued | $44.67 | $50.12 | $67.61 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $190.55 Median $213.80 Typical High $239.88 | Professional | CT · Older CT scanner | $190.55 | $213.80 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $204.17 Typical High $223.87 | Professional | FX · Film X-ray | $181.97 | $204.17 | $223.87 |
Where Colorado sits
The same service costs 6.3 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
$380
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.