How much rates vary
Facilitymedian $115 · 10th to 90th $58 to $229Professionalmedian $65 · 10th to 90th $41 to $105
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 $47.86 Median $74.13 Typical High $162.18 | Facility | None | $47.86 | $74.13 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $47.86 Typical High $81.28 | Professional | None (both parts) | $40.74 | $47.86 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $19.50 | Professional | 26 · Professional part | $9.77 | $12.02 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $35.48 Typical High $58.88 | Professional | TC · Technical part | $30.90 | $35.48 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $229.09 | Facility | None | $104.71 | $123.03 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $70.79 Typical High $109.65 | Professional | None (both parts) | $51.29 | $70.79 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $27.54 | Professional | 26 · Professional part | $13.49 | $18.20 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $53.70 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $426.58 | Facility | None | $107.15 | $125.89 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $54.95 Typical High $97.72 | Professional | None (both parts) | $38.02 | $54.95 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $25.70 | Professional | 26 · Professional part | $10.00 | $14.13 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.90 Typical High $70.79 | Professional | TC · Technical part | $27.54 | $38.90 | $70.79 |
Denver HMP Setting Facility Modifier None Typical Low $42.66 Median $58.88 Typical High $95.50 | Facility | None | $42.66 | $58.88 | $95.50 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $102.33 | Professional | None | $48.98 | $69.18 | $102.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.38 Typical High $25.70 | Professional | 26 · Professional part | $12.02 | $17.38 | $25.70 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $52.48 Typical High $75.86 | Professional | TC · Technical part | $36.31 | $52.48 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $85.11 Typical High $97.72 | Facility | None | $46.77 | $85.11 | $97.72 |
Select Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $46.77 Typical High $91.20 | Professional | None (both parts) | $36.31 | $46.77 | $91.20 |
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 $42.66 Median $58.88 Typical High $91.20 | Professional | None (both parts) | $42.66 | $58.88 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $16.22 Typical High $25.70 | Professional | 26 · Professional part | $10.23 | $16.22 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $42.66 Typical High $64.57 | Professional | TC · Technical part | $30.20 | $42.66 | $64.57 |
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 $19.50 Median $23.44 Typical High $25.70 | Professional | 52 · Reduced service | $19.50 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.55 Typical High $10.23 | Professional | 53 · Discontinued | $7.76 | $9.55 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | FX · Film X-ray | $30.90 | $38.02 | $38.02 |
Where Colorado sits
The same service costs 3.9 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· 12th of 51
$66.07
AK $129UT $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.