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 $194.98 Median $602.56 Typical High $1,380.38 | Facility | None | $194.98 | $602.56 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $194.98 | $218.78 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $63.10 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $144.54 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $478.63 Typical High $870.96 | Facility | None | $398.11 | $478.63 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $213.80 | $371.54 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $95.50 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $281.84 Typical High $489.78 | Professional | TC · Technical part | $131.83 | $281.84 | $489.78 |
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 $162.18 Median $295.12 Typical High $575.44 | Professional | None (both parts) | $162.18 | $295.12 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $141.25 | Professional | 26 · Professional part | $51.29 | $67.61 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $208.93 Typical High $426.58 | Professional | TC · Technical part | $109.65 | $208.93 | $426.58 |
Denver HMP Setting Facility Modifier None Typical Low $194.98 Median $295.12 Typical High $467.74 | Facility | None | $194.98 | $295.12 | $467.74 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $398.11 | Professional | None | $186.21 | $275.42 | $398.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $87.10 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $125.89 | $186.21 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $331.13 Typical High $371.54 | Facility | None | $177.83 | $331.13 | $371.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $346.74 | Professional | None (both parts) | $138.04 | $177.83 | $346.74 |
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 $199.53 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $199.53 | $309.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $85.11 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $229.09 Typical High $346.74 | Professional | TC · Technical part | $144.54 | $229.09 | $346.74 |
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 $87.10 Median $97.72 Typical High $138.04 | Professional | 52 · Reduced service | $87.10 | $97.72 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $54.95 | Professional | 53 · Discontinued | $34.67 | $38.90 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $165.96 Typical High $190.55 | Professional | CT · Older CT scanner | $147.91 | $165.96 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $154.88 Typical High $181.97 | Professional | FX · Film X-ray | $138.04 | $154.88 | $181.97 |
Where Colorado sits
The same service costs 5.5 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· 23rd of 51
$309
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.