How much rates vary
Facilitymedian $562 · 10th to 90th $251 to $1,380Professionalmedian $389 · 10th to 90th $204 to $759
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 $251.19 Median $616.60 Typical High $1,698.24 | Facility | None | $251.19 | $616.60 | $1,698.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $138.04 | Facility | 26 · Professional part | $89.13 | $100.00 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $275.42 Typical High $478.63 | Facility | TC · Technical part | $165.96 | $275.42 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $323.59 Typical High $602.56 | Professional | None (both parts) | $234.42 | $323.59 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $100.00 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $389.05 | Professional | TC · Technical part | $154.88 | $204.17 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $537.03 Typical High $1,000.00 | Facility | None | $457.09 | $537.03 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $489.78 Typical High $812.83 | Professional | None (both parts) | $239.88 | $489.78 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $117.49 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $117.49 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $281.84 Typical High $851.14 | Professional | TC · Technical part | $138.04 | $281.84 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $831.76 | Facility | None | $117.49 | $125.89 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $354.81 Typical High $891.25 | Professional | None (both parts) | $181.97 | $354.81 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $181.97 | Professional | 26 · Professional part | $61.66 | $83.18 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $229.09 Typical High $630.96 | Professional | TC · Technical part | $120.23 | $229.09 | $630.96 |
Denver HMP Setting Facility Modifier None Typical Low $251.19 Median $512.86 Typical High $758.58 | Facility | None | $251.19 | $512.86 | $758.58 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $489.78 | Professional | None | $208.93 | $309.03 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $107.15 | $169.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $138.04 | $199.53 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $199.53 Median $371.54 Typical High $416.87 | Facility | None | $199.53 | $371.54 | $416.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $389.05 | Professional | None (both parts) | $154.88 | $199.53 | $389.05 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,258.93 | Facility | None | $1,047.13 | $1,096.48 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $218.78 | $389.05 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $104.71 Typical High $177.83 | Professional | 26 · Professional part | $63.10 | $104.71 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $144.54 | $257.04 | $467.74 |
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 $102.33 Median $125.89 Typical High $239.88 | Professional | 52 · Reduced service | $102.33 | $125.89 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $51.29 Typical High $95.50 | Professional | 53 · Discontinued | $40.74 | $51.29 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $204.17 Typical High $323.59 | Professional | FX · Film X-ray | $158.49 | $204.17 | $323.59 |
Where Colorado sits
The same service costs 24.0 times more in Vermont 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· 19th of 51
$398
VT $2,951UT $123
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.