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 $457.09 Median $933.25 Typical High $1,995.26 | Facility | None | $457.09 | $933.25 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $457.09 Typical High $831.76 | Professional | None (both parts) | $363.08 | $457.09 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $87.10 | $107.15 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $346.74 Typical High $436.52 | Professional | TC · Technical part | $269.15 | $346.74 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $954.99 Typical High $1,778.28 | Facility | None | $794.33 | $954.99 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $758.58 Typical High $1,380.38 | Professional | None (both parts) | $389.05 | $758.58 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $141.25 Typical High $204.17 | Professional | 26 · Professional part | $97.72 | $141.25 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $524.81 Typical High $1,071.52 | Professional | TC · Technical part | $263.03 | $524.81 | $1,071.52 |
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 $331.13 Median $562.34 Typical High $1,096.48 | Professional | None (both parts) | $331.13 | $562.34 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $102.33 Typical High $208.93 | Professional | 26 · Professional part | $74.13 | $102.33 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $870.96 | Professional | TC · Technical part | $257.04 | $436.52 | $870.96 |
Denver HMP Setting Facility Modifier None Typical Low $457.09 Median $645.65 Typical High $912.01 | Facility | None | $457.09 | $645.65 | $912.01 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $549.54 Typical High $776.25 | Professional | None | $354.81 | $549.54 | $776.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $128.82 Typical High $186.21 | Professional | 26 · Professional part | $87.10 | $128.82 | $186.21 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $416.87 Typical High $602.56 | Professional | TC · Technical part | $281.84 | $416.87 | $602.56 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $741.31 | Facility | None | $354.81 | $660.69 | $741.31 |
Select Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $691.83 | Professional | None (both parts) | $281.84 | $354.81 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $616.60 Typical High $1,000.00 | Professional | None (both parts) | $407.38 | $616.60 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $123.03 Typical High $204.17 | Professional | 26 · Professional part | $75.86 | $123.03 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $478.63 Typical High $741.31 | Professional | TC · Technical part | $309.03 | $478.63 | $741.31 |
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 $177.83 Median $229.09 Typical High $302.00 | Professional | 52 · Reduced service | $177.83 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $91.20 Typical High $120.23 | Professional | 53 · Discontinued | $72.44 | $91.20 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $363.08 Typical High $380.19 | Professional | FX · Film X-ray | $288.40 | $363.08 | $380.19 |
Where Colorado sits
The same service costs 5.4 times more in Wyoming 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· 15th of 51
$603
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.