How much rates vary
Facilitymedian $89 · 10th to 90th $35 to $174Professionalmedian $48 · 10th to 90th $31 to $78
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 $35.48 Median $54.95 Typical High $162.18 | Facility | None | $35.48 | $54.95 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $61.66 | Professional | None (both parts) | $28.84 | $35.48 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.55 Typical High $15.85 | Professional | 26 · Professional part | $8.51 | $9.55 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $42.66 | Professional | TC · Technical part | $20.42 | $25.70 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $93.33 Typical High $173.78 | Facility | None | $77.62 | $93.33 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $54.95 Typical High $83.18 | Professional | None (both parts) | $38.90 | $54.95 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $22.39 | Professional | 26 · Professional part | $10.96 | $15.14 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $28.84 | $39.81 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $125.89 Typical High $354.81 | Facility | None | $89.13 | $125.89 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.90 Typical High $72.44 | Professional | None (both parts) | $27.54 | $38.90 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.30 Typical High $22.39 | Professional | 26 · Professional part | $8.32 | $12.30 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.92 Typical High $50.12 | Professional | TC · Technical part | $18.62 | $26.92 | $50.12 |
Denver HMP Setting Facility Modifier None Typical Low $31.62 Median $43.65 Typical High $60.26 | Facility | None | $31.62 | $43.65 | $60.26 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $75.86 | Professional | None | $36.31 | $52.48 | $75.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $10.00 | $14.45 | $20.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.02 Typical High $54.95 | Professional | TC · Technical part | $26.30 | $38.02 | $54.95 |
Select Health Setting Facility Modifier None Typical Low $34.67 Median $64.57 Typical High $72.44 | Facility | None | $34.67 | $64.57 | $72.44 |
Select Health Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $67.61 | Professional | None (both parts) | $26.92 | $34.67 | $67.61 |
United Setting Facility Modifier None Typical Low $380.19 Median $398.11 Typical High $457.09 | Facility | None | $380.19 | $398.11 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $30.90 | $43.65 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.49 Typical High $21.88 | Professional | 26 · Professional part | $9.77 | $13.49 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.20 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $30.20 | $47.86 |
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 $14.45 Median $17.78 Typical High $18.62 | Professional | 52 · Reduced service | $14.45 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.08 Typical High $7.59 | Professional | 53 · Discontinued | $5.75 | $7.08 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $23.44 | $28.18 | $28.18 |
Where Colorado sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 14th of 51
$48.98
AK $95.50FL $26.92
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.