How much rates vary
Facilitymedian $537 · 10th to 90th $224 to $1,023Professionalmedian $355 · 10th to 90th $214 to $646
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 $223.87 Median $660.69 Typical High $1,380.38 | Facility | None | $223.87 | $660.69 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $223.87 Typical High $446.68 | Professional | None (both parts) | $199.53 | $223.87 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $93.33 | Professional | 26 · Professional part | $58.88 | $66.07 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $338.84 | Professional | TC · Technical part | $144.54 | $158.49 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $549.54 Typical High $1,023.29 | Facility | None | $467.74 | $549.54 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $251.19 | $426.58 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $100.00 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $309.03 Typical High $602.56 | Professional | TC · Technical part | $169.82 | $309.03 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $537.03 | Facility | None | $117.49 | $125.89 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $346.74 Typical High $691.83 | Professional | None (both parts) | $190.55 | $346.74 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $147.91 | Professional | 26 · Professional part | $52.48 | $70.79 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $257.04 Typical High $524.81 | Professional | TC · Technical part | $134.90 | $257.04 | $524.81 |
Denver HMP Setting Facility Modifier None Typical Low $223.87 Median $338.84 Typical High $562.34 | Facility | None | $223.87 | $338.84 | $562.34 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $457.09 | Professional | None | $213.80 | $316.23 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $91.20 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $91.20 | $131.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $154.88 | $223.87 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $380.19 Typical High $436.52 | Facility | None | $204.17 | $380.19 | $436.52 |
Select Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $398.11 | Professional | None (both parts) | $162.18 | $204.17 | $398.11 |
United Setting Facility Modifier None Typical Low $758.58 Median $812.83 Typical High $912.01 | Facility | None | $758.58 | $812.83 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $363.08 Typical High $575.44 | Professional | None (both parts) | $234.42 | $363.08 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $89.13 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $177.83 | $281.84 | $426.58 |
4 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 $100.00 Median $112.20 Typical High $151.36 | Professional | 52 · Reduced service | $100.00 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $44.67 Typical High $60.26 | Professional | 53 · Discontinued | $39.81 | $44.67 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $169.82 Median $190.55 Typical High $223.87 | Professional | CT · Older CT scanner | $169.82 | $190.55 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $181.97 Typical High $208.93 | Professional | FX · Film X-ray | $162.18 | $181.97 | $208.93 |
Where Colorado sits
The same service costs 5.2 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· 22nd of 51
$363
AK $794UT $151
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.