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 $64.57 Median $100.00 Typical High $120.23 | Facility | None | $64.57 | $100.00 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $67.61 Typical High $114.82 | Professional | None (both parts) | $58.88 | $67.61 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $14.45 | $16.22 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $51.29 Typical High $85.11 | Professional | TC · Technical part | $44.67 | $51.29 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $323.59 | Facility | None | $147.91 | $173.78 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $72.44 | $104.71 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.99 Typical High $34.67 | Professional | 26 · Professional part | $16.98 | $23.99 | $34.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $125.89 | Professional | TC · Technical part | $56.23 | $81.28 | $125.89 |
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 $56.23 Median $83.18 Typical High $138.04 | Professional | None (both parts) | $56.23 | $83.18 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $20.42 Typical High $36.31 | Professional | 26 · Professional part | $12.88 | $20.42 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $102.33 | Professional | TC · Technical part | $41.69 | $58.88 | $102.33 |
Denver HMP Setting Facility Modifier None Typical Low $58.88 Median $83.18 Typical High $123.03 | Facility | None | $58.88 | $83.18 | $123.03 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $144.54 | Professional | None | $67.61 | $97.72 | $144.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.88 Typical High $32.36 | Professional | 26 · Professional part | $15.49 | $21.88 | $32.36 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $109.65 | Professional | TC · Technical part | $52.48 | $75.86 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $120.23 Typical High $134.90 | Facility | None | $64.57 | $120.23 | $134.90 |
Select Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $125.89 | Professional | None (both parts) | $50.12 | $64.57 | $125.89 |
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 $60.26 Median $83.18 Typical High $125.89 | Professional | None (both parts) | $60.26 | $83.18 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.38 Typical High $33.88 | Professional | 26 · Professional part | $15.49 | $21.38 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $44.67 | $63.10 | $95.50 |
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 $26.92 Median $32.36 Typical High $34.67 | Professional | 52 · Reduced service | $26.92 | $32.36 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.88 Typical High $13.80 | Professional | 53 · Discontinued | $10.72 | $12.88 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $52.48 Typical High $52.48 | Professional | FX · Film X-ray | $43.65 | $52.48 | $52.48 |
Where Colorado sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$91.20
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.