How much rates vary
Facilitymedian $132 · 10th to 90th $58 to $288Professionalmedian $76 · 10th to 90th $48 to $120
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 $57.54 Median $70.79 Typical High $120.23 | Facility | None | $57.54 | $70.79 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $199.53 | Facility | TC · Technical part | $43.65 | $54.95 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $57.54 Typical High $97.72 | Professional | None (both parts) | $47.86 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.49 Typical High $22.39 | Professional | 26 · Professional part | $12.88 | $13.49 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $43.65 Typical High $74.13 | Professional | TC · Technical part | $33.88 | $43.65 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $154.88 Typical High $288.40 | Facility | None | $131.83 | $154.88 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $85.11 Typical High $131.83 | Professional | None (both parts) | $60.26 | $85.11 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.38 Typical High $30.90 | Professional | 26 · Professional part | $15.14 | $21.38 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $66.07 Typical High $100.00 | Professional | TC · Technical part | $47.86 | $66.07 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $426.58 | Facility | None | $107.15 | $165.96 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $64.57 Typical High $114.82 | Professional | None (both parts) | $44.67 | $64.57 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $17.78 Typical High $33.11 | Professional | 26 · Professional part | $11.48 | $17.78 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $43.65 Typical High $83.18 | Professional | TC · Technical part | $30.20 | $43.65 | $83.18 |
Denver HMP Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $95.50 | Facility | None | $51.29 | $72.44 | $95.50 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $128.82 | Professional | None | $60.26 | $87.10 | $128.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.95 Typical High $28.84 | Professional | 26 · Professional part | $13.80 | $19.95 | $28.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $67.61 Typical High $97.72 | Professional | TC · Technical part | $46.77 | $67.61 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $57.54 Median $107.15 Typical High $120.23 | Facility | None | $57.54 | $107.15 | $120.23 |
Select Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $57.54 Typical High $112.20 | Professional | None (both parts) | $43.65 | $57.54 | $112.20 |
United Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $549.54 | Facility | None | $457.09 | $478.63 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $67.61 Typical High $107.15 | Professional | None (both parts) | $46.77 | $67.61 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.50 Typical High $30.20 | Professional | 26 · Professional part | $14.13 | $19.50 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $48.98 Typical High $81.28 | Professional | TC · Technical part | $33.88 | $48.98 | $81.28 |
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 $23.44 Median $28.84 Typical High $30.20 | Professional | 52 · Reduced service | $23.44 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $11.48 Typical High $12.30 | Professional | 53 · Discontinued | $9.33 | $11.48 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $45.71 Typical High $45.71 | Professional | FX · Film X-ray | $37.15 | $45.71 | $45.71 |
Where Colorado sits
The same service costs 4.8 times more in Alaska 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
$77.62
AK $158UT $33.11
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.