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 $512.86 Median $954.99 Typical High $1,995.26 | Facility | None | $512.86 | $954.99 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $478.63 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $128.82 | $190.55 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $371.54 | $758.58 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $831.76 Typical High $2,137.96 | Professional | None (both parts) | $489.78 | $831.76 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $257.04 Typical High $371.54 | Professional | 26 · Professional part | $173.78 | $257.04 | $371.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $1,023.29 Typical High $1,905.46 | Professional | TC · Technical part | $416.87 | $1,023.29 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $1,174.90 | Facility | None | $117.49 | $125.89 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,479.11 Typical High $3,019.95 | Professional | None (both parts) | $1,047.13 | $1,479.11 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $194.98 Typical High $346.74 | Professional | 26 · Professional part | $131.83 | $194.98 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,318.26 Typical High $2,691.53 | Professional | TC · Technical part | $912.01 | $1,318.26 | $2,691.53 |
Denver HMP Setting Facility Modifier None Typical Low $691.83 Median $812.83 Typical High $1,862.09 | Facility | None | $691.83 | $812.83 | $1,862.09 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $977.24 Typical High $1,380.38 | Professional | None | $660.69 | $977.24 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $239.88 Typical High $346.74 | Professional | 26 · Professional part | $158.49 | $239.88 | $346.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $891.25 Typical High $1,258.93 | Professional | TC · Technical part | $616.60 | $891.25 | $1,258.93 |
Select Health Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $1,584.89 | Facility | None | $758.58 | $1,380.38 | $1,584.89 |
Select Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $758.58 Typical High $1,479.11 | Professional | None (both parts) | $575.44 | $758.58 | $1,479.11 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,884.03 | Facility | None | $2,398.83 | $2,511.89 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $794.33 Typical High $1,445.44 | Professional | None (both parts) | $316.23 | $794.33 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $223.87 Typical High $371.54 | Professional | 26 · Professional part | $123.03 | $223.87 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $588.84 Typical High $1,096.48 | Professional | TC · Technical part | $190.55 | $588.84 | $1,096.48 |
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 $239.88 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $239.88 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $95.50 | $162.18 | $162.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $407.38 Median $660.69 Typical High $660.69 | Professional | FX · Film X-ray | $407.38 | $660.69 | $660.69 |
Where Colorado sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 15th of 51
$977
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.