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 $457.09 Median $758.58 Typical High $1,905.46 | Facility | None | $457.09 | $758.58 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $457.09 Typical High $851.14 | Professional | None (both parts) | $380.19 | $457.09 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $109.65 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $354.81 Typical High $549.54 | Professional | TC · Technical part | $281.84 | $354.81 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,778.28 | Facility | None | $812.83 | $954.99 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $436.52 Median $758.58 Typical High $1,380.38 | Professional | None (both parts) | $436.52 | $758.58 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $141.25 Typical High $204.17 | Professional | 26 · Professional part | $95.50 | $141.25 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $524.81 Typical High $1,047.13 | Professional | TC · Technical part | $295.12 | $524.81 | $1,047.13 |
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 $331.13 Median $645.65 Typical High $1,412.54 | Professional | None (both parts) | $331.13 | $645.65 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $208.93 | Professional | 26 · Professional part | $74.13 | $100.00 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $501.19 Typical High $1,258.93 | Professional | TC · Technical part | $257.04 | $501.19 | $1,258.93 |
Denver HMP Setting Facility Modifier None Typical Low $457.09 Median $676.08 Typical High $1,288.25 | Facility | None | $457.09 | $676.08 | $1,288.25 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $794.33 | Professional | None | $363.08 | $562.34 | $794.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $128.82 Typical High $190.55 | Professional | 26 · Professional part | $87.10 | $128.82 | $190.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $426.58 Typical High $645.65 | Professional | TC · Technical part | $288.40 | $426.58 | $645.65 |
Select Health Setting Facility Modifier None Typical Low $363.08 Median $660.69 Typical High $758.58 | Facility | None | $363.08 | $660.69 | $758.58 |
Select Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $363.08 Typical High $707.95 | Professional | None (both parts) | $281.84 | $363.08 | $707.95 |
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 $426.58 Median $707.95 Typical High $1,230.27 | Professional | None (both parts) | $426.58 | $707.95 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $75.86 | $120.23 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $562.34 Typical High $977.24 | Professional | TC · Technical part | $323.59 | $562.34 | $977.24 |
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 $177.83 Median $229.09 Typical High $302.00 | Professional | 52 · Reduced service | $177.83 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $91.20 Typical High $120.23 | Professional | 53 · Discontinued | $72.44 | $91.20 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $371.54 Typical High $371.54 | Professional | FX · Film X-ray | $281.84 | $371.54 | $371.54 |
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· 20th of 51
$631
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.