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 $190.55 Median $416.87 Typical High $1,230.27 | Facility | None | $190.55 | $416.87 | $1,230.27 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $93.33 | Facility | 26 · Professional part | $60.26 | $77.62 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $204.17 Typical High $338.84 | Facility | TC · Technical part | $131.83 | $204.17 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $186.21 | $234.42 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $60.26 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $151.36 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $151.36 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $467.74 Typical High $870.96 | Facility | None | $398.11 | $467.74 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $208.93 | $371.54 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $91.20 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $281.84 Typical High $489.78 | Professional | TC · Technical part | $128.82 | $281.84 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $537.03 | Facility | None | $117.49 | $125.89 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $288.40 Typical High $575.44 | Professional | None (both parts) | $162.18 | $288.40 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $144.54 | Professional | 26 · Professional part | $50.12 | $69.18 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $204.17 Typical High $426.58 | Professional | TC · Technical part | $109.65 | $204.17 | $426.58 |
Denver HMP Setting Facility Modifier None Typical Low $190.55 Median $288.40 Typical High $467.74 | Facility | None | $190.55 | $288.40 | $467.74 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $389.05 | Professional | None | $181.97 | $269.15 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $57.54 | $83.18 | $123.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $125.89 | $186.21 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $323.59 Typical High $363.08 | Facility | None | $173.78 | $323.59 | $363.08 |
Select Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $138.04 | $173.78 | $338.84 |
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 $199.53 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $199.53 | $309.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $87.10 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $141.25 | $229.09 | $338.84 |
4 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 $85.11 Median $95.50 Typical High $138.04 | Professional | 52 · Reduced service | $85.11 | $95.50 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $54.95 | Professional | 53 · Discontinued | $33.88 | $38.02 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $162.18 Typical High $190.55 | Professional | CT · Older CT scanner | $144.54 | $162.18 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $151.36 Typical High $177.83 | Professional | FX · Film X-ray | $134.90 | $151.36 | $177.83 |
Where Colorado sits
The same service costs 5.9 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· 22nd of 51
$309
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.