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 $302.00 Median $549.54 Typical High $1,230.27 | Facility | None | $302.00 | $549.54 | $1,230.27 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $147.91 | Facility | 26 · Professional part | $93.33 | $123.03 | $147.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $331.13 Typical High $467.74 | Facility | TC · Technical part | $208.93 | $331.13 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $549.54 | Professional | None (both parts) | $281.84 | $346.74 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $83.18 | $93.33 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $199.53 | $229.09 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $794.33 Typical High $1,445.44 | Facility | None | $660.69 | $794.33 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $478.63 Typical High $1,000.00 | Professional | None (both parts) | $288.40 | $478.63 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $141.25 Typical High $204.17 | Professional | 26 · Professional part | $97.72 | $141.25 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $371.54 Typical High $741.31 | Professional | TC · Technical part | $194.98 | $371.54 | $741.31 |
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 $269.15 Median $446.68 Typical High $870.96 | Professional | None (both parts) | $269.15 | $446.68 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $213.80 | Professional | 26 · Professional part | $75.86 | $104.71 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $323.59 Typical High $691.83 | Professional | TC · Technical part | $190.55 | $323.59 | $691.83 |
Denver HMP Setting Facility Modifier None Typical Low $302.00 Median $436.52 Typical High $758.58 | Facility | None | $302.00 | $436.52 | $758.58 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $602.56 | Professional | None | $288.40 | $426.58 | $602.56 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $131.83 Typical High $190.55 | Professional | 26 · Professional part | $89.13 | $131.83 | $190.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $295.12 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $512.86 Typical High $575.44 | Facility | None | $275.42 | $512.86 | $575.44 |
Select Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $537.03 | Professional | None (both parts) | $218.78 | $288.40 | $537.03 |
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 $309.03 Median $467.74 Typical High $741.31 | Professional | None (both parts) | $309.03 | $467.74 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $125.89 Typical High $208.93 | Professional | 26 · Professional part | $79.43 | $125.89 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $354.81 Typical High $524.81 | Professional | TC · Technical part | $213.80 | $354.81 | $524.81 |
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 $128.82 Median $151.36 Typical High $194.98 | Professional | 52 · Reduced service | $128.82 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $60.26 Typical High $77.62 | Professional | 53 · Discontinued | $51.29 | $60.26 | $77.62 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $257.04 Typical High $269.15 | Professional | CT · Older CT scanner | $218.78 | $257.04 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $245.47 Typical High $257.04 | Professional | FX · Film X-ray | $204.17 | $245.47 | $257.04 |
Where Colorado sits
The same service costs 12.3 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· 19th of 51
$457
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.