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 $309.03 Median $954.99 Typical High $1,995.26 | Facility | None | $309.03 | $954.99 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $309.03 Typical High $630.96 | Professional | None (both parts) | $234.42 | $309.03 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $199.53 Typical High $204.17 | Professional | 26 · Professional part | $141.25 | $199.53 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $245.47 Typical High $346.74 | Professional | TC · Technical part | $181.97 | $245.47 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $549.54 Typical High $870.96 | Professional | None (both parts) | $288.40 | $549.54 | $870.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $257.04 Typical High $380.19 | Professional | 26 · Professional part | $177.83 | $257.04 | $380.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $416.87 Typical High $1,230.27 | Professional | TC · Technical part | $204.17 | $416.87 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $1,230.27 | Facility | None | $117.49 | $125.89 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,513.56 Typical High $3,090.30 | Professional | None (both parts) | $1,071.52 | $1,513.56 | $3,090.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $199.53 Typical High $354.81 | Professional | 26 · Professional part | $138.04 | $199.53 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,348.96 Typical High $2,818.38 | Professional | TC · Technical part | $1,000.00 | $1,348.96 | $2,818.38 |
Denver HMP Setting Facility Modifier None Typical Low $309.03 Median $436.52 Typical High $1,905.46 | Facility | None | $309.03 | $436.52 | $1,905.46 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $549.54 | Professional | None | $257.04 | $371.54 | $549.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $245.47 Typical High $354.81 | Professional | 26 · Professional part | $165.96 | $245.47 | $354.81 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $295.12 Typical High $446.68 | Professional | TC · Technical part | $199.53 | $295.12 | $446.68 |
Select Health Setting Facility Modifier None Typical Low $346.74 Median $645.65 Typical High $741.31 | Facility | None | $346.74 | $645.65 | $741.31 |
Select Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $275.42 | $354.81 | $676.08 |
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 $346.74 Median $562.34 Typical High $1,230.27 | Professional | None (both parts) | $346.74 | $562.34 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $234.42 Typical High $380.19 | Professional | 26 · Professional part | $141.25 | $234.42 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $288.40 Typical High $741.31 | Professional | TC · Technical part | $199.53 | $288.40 | $741.31 |
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 $114.82 Median $154.88 Typical High $239.88 | Professional | 52 · Reduced service | $114.82 | $154.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $61.66 Typical High $95.50 | Professional | 53 · Discontinued | $46.77 | $61.66 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $245.47 Typical High $302.00 | Professional | FX · Film X-ray | $177.83 | $245.47 | $302.00 |
Where Colorado sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 27th of 51
$603
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.