How much rates vary
Facilitymedian $102 · 10th to 90th $42 to $209Professionalmedian $58 · 10th to 90th $36 to $93
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 $41.69 Median $54.95 Typical High $120.23 | Facility | None | $41.69 | $54.95 | $120.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $14.45 Typical High $18.20 | Facility | 26 · Professional part | $10.96 | $14.45 | $18.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $69.18 | Facility | TC · Technical part | $30.90 | $39.81 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $41.69 Typical High $74.13 | Professional | None (both parts) | $36.31 | $41.69 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.96 Typical High $18.20 | Professional | 26 · Professional part | $10.00 | $10.96 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $52.48 | Professional | TC · Technical part | $26.92 | $30.90 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $112.20 Typical High $208.93 | Facility | None | $95.50 | $112.20 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $64.57 Typical High $100.00 | Professional | None (both parts) | $46.77 | $64.57 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.38 Typical High $25.12 | Professional | 26 · Professional part | $12.30 | $17.38 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $72.44 | Professional | TC · Technical part | $34.67 | $47.86 | $72.44 |
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 $33.88 Median $48.98 Typical High $89.13 | Professional | None (both parts) | $33.88 | $48.98 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.13 Typical High $25.70 | Professional | 26 · Professional part | $9.55 | $14.13 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $61.66 | Professional | TC · Technical part | $23.44 | $31.62 | $61.66 |
Denver HMP Setting Facility Modifier None Typical Low $38.02 Median $52.48 Typical High $66.07 | Facility | None | $38.02 | $52.48 | $66.07 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $93.33 | Professional | None | $44.67 | $64.57 | $93.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $23.99 | Professional | 26 · Professional part | $11.48 | $16.60 | $23.99 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $69.18 | Professional | TC · Technical part | $33.11 | $47.86 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $42.66 Median $79.43 Typical High $89.13 | Facility | None | $42.66 | $79.43 | $89.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $52.48 Typical High $91.20 | Professional | None (both parts) | $32.36 | $52.48 | $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 $35.48 Median $51.29 Typical High $79.43 | Professional | None (both parts) | $35.48 | $51.29 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.14 Typical High $23.99 | Professional | 26 · Professional part | $10.23 | $15.14 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $35.48 Typical High $57.54 | Professional | TC · Technical part | $25.12 | $35.48 | $57.54 |
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 $17.38 Median $20.89 Typical High $22.39 | Professional | 52 · Reduced service | $17.38 | $20.89 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.32 Typical High $9.12 | Professional | 53 · Discontinued | $6.92 | $8.32 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $33.88 Typical High $33.88 | Professional | FX · Film X-ray | $27.54 | $33.88 | $33.88 |
Where Colorado sits
The same service costs 12.6 times more in Vermont than in Florida. 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· 14th of 51
$57.54
VT $389FL $30.90
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.