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 $426.58 Median $776.25 Typical High $1,698.24 | Facility | None | $426.58 | $776.25 | $1,698.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $138.04 Median $158.49 Typical High $213.80 | Facility | 26 · Professional part | $138.04 | $158.49 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $426.58 Typical High $741.31 | Facility | TC · Technical part | $288.40 | $426.58 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $354.81 | $426.58 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $138.04 Typical High $213.80 | Professional | 26 · Professional part | $112.20 | $138.04 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $288.40 Typical High $489.78 | Professional | TC · Technical part | $234.42 | $288.40 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,659.59 | Facility | None | $758.58 | $891.25 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $691.83 Typical High $1,258.93 | Professional | None (both parts) | $389.05 | $691.83 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $177.83 Typical High $257.04 | Professional | 26 · Professional part | $123.03 | $177.83 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $478.63 Typical High $1,230.27 | Professional | TC · Technical part | $239.88 | $478.63 | $1,230.27 |
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 $309.03 Median $562.34 Typical High $1,348.96 | Professional | None (both parts) | $309.03 | $562.34 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $269.15 | Professional | 26 · Professional part | $95.50 | $131.83 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $398.11 Typical High $1,047.13 | Professional | TC · Technical part | $208.93 | $398.11 | $1,047.13 |
Denver HMP Setting Facility Modifier None Typical Low $426.58 Median $676.08 Typical High $1,288.25 | Facility | None | $426.58 | $676.08 | $1,288.25 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $616.60 | $616.60 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $724.44 | Professional | None | $346.74 | $512.86 | $724.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $165.96 Typical High $245.47 | Professional | 26 · Professional part | $112.20 | $165.96 | $245.47 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $346.74 Typical High $575.44 | Professional | TC · Technical part | $234.42 | $346.74 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $616.60 Typical High $691.83 | Facility | None | $331.13 | $616.60 | $691.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $263.03 | $338.84 | $645.65 |
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 $371.54 Median $645.65 Typical High $1,096.48 | Professional | None (both parts) | $371.54 | $645.65 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $162.18 Typical High $269.15 | Professional | 26 · Professional part | $100.00 | $162.18 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $457.09 Typical High $812.83 | Professional | TC · Technical part | $251.19 | $457.09 | $812.83 |
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 $165.96 Median $213.80 Typical High $281.84 | Professional | 52 · Reduced service | $165.96 | $213.80 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $85.11 Typical High $112.20 | Professional | 53 · Discontinued | $66.07 | $85.11 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $263.03 | $338.84 | $338.84 |
Where Colorado sits
The same service costs 6.6 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· 21st of 51
$589
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.