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 $354.81 Median $954.99 Typical High $1,995.26 | Facility | None | $354.81 | $954.99 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $295.12 | $354.81 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $97.72 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $407.38 | Professional | TC · Technical part | $213.80 | $257.04 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $741.31 Typical High $1,380.38 | Facility | None | $630.96 | $741.31 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $645.65 Typical High $1,071.52 | Professional | None (both parts) | $338.84 | $645.65 | $1,071.52 |
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 $218.78 Median $436.52 Typical High $933.25 | Professional | TC · Technical part | $218.78 | $436.52 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $831.76 | Facility | None | $117.49 | $125.89 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $478.63 Typical High $1,023.29 | Professional | None (both parts) | $257.04 | $478.63 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $190.55 | Professional | 26 · Professional part | $67.61 | $89.13 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $371.54 Typical High $794.33 | Professional | TC · Technical part | $190.55 | $371.54 | $794.33 |
Denver HMP Setting Facility Modifier None Typical Low $354.81 Median $562.34 Typical High $891.25 | Facility | None | $354.81 | $562.34 | $891.25 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $660.69 | Professional | None | $295.12 | $426.58 | $660.69 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $117.49 | $186.21 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $524.81 | Professional | TC · Technical part | $213.80 | $316.23 | $524.81 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $512.86 Typical High $588.84 | Facility | None | $281.84 | $512.86 | $588.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $218.78 | $281.84 | $549.54 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $1,819.70 | Facility | None | $1,513.56 | $1,584.89 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $524.81 Typical High $851.14 | Professional | None (both parts) | $323.59 | $524.81 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $69.18 | $114.82 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $407.38 Typical High $645.65 | Professional | TC · Technical part | $234.42 | $407.38 | $645.65 |
3 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 $141.25 Median $177.83 Typical High $263.03 | Professional | 52 · Reduced service | $141.25 | $177.83 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $70.79 Typical High $104.71 | Professional | 53 · Discontinued | $56.23 | $70.79 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $281.84 Typical High $338.84 | Professional | FX · Film X-ray | $223.87 | $281.84 | $338.84 |
Where Colorado sits
The same service costs 5.6 times more in Wyoming 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
$525
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.