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 $501.19 Median $954.99 Typical High $1,995.26 | Facility | None | $501.19 | $954.99 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $776.25 | Professional | None (both parts) | $389.05 | $501.19 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $104.71 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $398.11 Typical High $562.34 | Professional | TC · Technical part | $302.00 | $398.11 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,949.84 | Facility | None | $891.25 | $1,047.13 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $812.83 Typical High $1,479.11 | Professional | None (both parts) | $426.58 | $812.83 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $194.98 | Professional | 26 · Professional part | $93.33 | $134.90 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $645.65 Typical High $1,230.27 | Professional | TC · Technical part | $331.13 | $645.65 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $831.76 | Facility | None | $117.49 | $125.89 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $363.08 | $602.56 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $199.53 | Professional | 26 · Professional part | $72.44 | $95.50 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $478.63 Typical High $933.25 | Professional | TC · Technical part | $288.40 | $478.63 | $933.25 |
Denver HMP Setting Facility Modifier None Typical Low $501.19 Median $707.95 Typical High $954.99 | Facility | None | $501.19 | $707.95 | $954.99 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $724.44 | $724.44 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $851.14 | Professional | None | $389.05 | $602.56 | $851.14 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $123.03 | $190.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $478.63 Typical High $707.95 | Professional | TC · Technical part | $323.59 | $478.63 | $707.95 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $724.44 Typical High $812.83 | Facility | None | $389.05 | $724.44 | $812.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $309.03 | $389.05 | $758.58 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $4,073.80 | Facility | None | $3,388.44 | $3,630.78 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $676.08 Typical High $1,096.48 | Professional | None (both parts) | $446.68 | $676.08 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $123.03 Typical High $199.53 | Professional | 26 · Professional part | $72.44 | $123.03 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $549.54 Typical High $891.25 | Professional | TC · Technical part | $354.81 | $549.54 | $891.25 |
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 $194.98 Median $251.19 Typical High $302.00 | Professional | 52 · Reduced service | $194.98 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $100.00 Typical High $120.23 | Professional | 53 · Discontinued | $77.62 | $100.00 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $398.11 Typical High $416.87 | Professional | FX · Film X-ray | $309.03 | $398.11 | $416.87 |
Where Colorado sits
The same service costs 5.5 times more in Wyoming 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· 16th of 51
$646
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.