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 $302.00 Median $537.03 Typical High $1,230.27 | Facility | None | $302.00 | $537.03 | $1,230.27 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $331.13 Typical High $954.99 | Facility | TC · Technical part | $208.93 | $331.13 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $275.42 | $338.84 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $79.43 | $91.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $223.87 Typical High $389.05 | Professional | TC · Technical part | $199.53 | $223.87 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $758.58 Typical High $1,412.54 | Facility | None | $645.65 | $758.58 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $489.78 Typical High $1,000.00 | Professional | None (both parts) | $288.40 | $489.78 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $93.33 | $134.90 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $371.54 Typical High $912.01 | Professional | TC · Technical part | $194.98 | $371.54 | $912.01 |
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 $263.03 Median $446.68 Typical High $933.25 | Professional | None (both parts) | $263.03 | $446.68 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $204.17 | Professional | 26 · Professional part | $72.44 | $97.72 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $331.13 Typical High $707.95 | Professional | TC · Technical part | $190.55 | $331.13 | $707.95 |
Denver HMP Setting Facility Modifier None Typical Low $302.00 Median $426.58 Typical High $758.58 | Facility | None | $302.00 | $426.58 | $758.58 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $602.56 | Professional | None | $288.40 | $416.87 | $602.56 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $181.97 | Professional | 26 · Professional part | $85.11 | $125.89 | $181.97 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $295.12 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $269.15 Median $501.19 Typical High $575.44 | Facility | None | $269.15 | $501.19 | $575.44 |
Select Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $524.81 | Professional | None (both parts) | $213.80 | $281.84 | $524.81 |
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 $302.00 Median $524.81 Typical High $741.31 | Professional | None (both parts) | $302.00 | $524.81 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $123.03 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $123.03 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $380.19 Typical High $549.54 | Professional | TC · Technical part | $213.80 | $380.19 | $549.54 |
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 $125.89 Median $151.36 Typical High $190.55 | Professional | 52 · Reduced service | $125.89 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $60.26 Typical High $75.86 | Professional | 53 · Discontinued | $50.12 | $60.26 | $75.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $257.04 Typical High $269.15 | Professional | CT · Older CT scanner | $213.80 | $257.04 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $239.88 Typical High $251.19 | Professional | FX · Film X-ray | $204.17 | $239.88 | $251.19 |
Where Colorado sits
The same service costs 7.6 times more in Vermont 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
$457
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.