How much rates vary
Facilitymedian $91 · 10th to 90th $35 to $174Professionalmedian $47 · 10th to 90th $29 to $76
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 $35.48 Median $38.90 Typical High $162.18 | Facility | None | $35.48 | $38.90 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $35.48 Typical High $58.88 | Professional | None (both parts) | $26.92 | $35.48 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $13.80 | Professional | 26 · Professional part | $7.41 | $8.51 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $19.50 | $26.92 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $95.50 Typical High $173.78 | Facility | None | $79.43 | $95.50 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $52.48 Typical High $81.28 | Professional | None (both parts) | $35.48 | $52.48 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.88 Typical High $19.05 | Professional | 26 · Professional part | $9.33 | $12.88 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $61.66 | Professional | TC · Technical part | $29.51 | $40.74 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $426.58 | Facility | None | $107.15 | $125.89 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $25.12 | $38.02 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $7.08 | $10.96 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $25.70 Typical High $51.29 | Professional | TC · Technical part | $17.38 | $25.70 | $51.29 |
Denver HMP Setting Facility Modifier None Typical Low $32.36 Median $41.69 Typical High $66.07 | Facility | None | $32.36 | $41.69 | $66.07 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $77.62 | Professional | None | $37.15 | $53.70 | $77.62 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.88 Typical High $18.62 | Professional | 26 · Professional part | $8.91 | $12.88 | $18.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $40.74 Typical High $58.88 | Professional | TC · Technical part | $28.18 | $40.74 | $58.88 |
Select Health Setting Facility Modifier None Typical Low $35.48 Median $66.07 Typical High $74.13 | Facility | None | $35.48 | $66.07 | $74.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $26.92 Median $35.48 Typical High $69.18 | Professional | None (both parts) | $26.92 | $35.48 | $69.18 |
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 $28.18 Median $42.66 Typical High $66.07 | Professional | None (both parts) | $28.18 | $42.66 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $18.62 | Professional | 26 · Professional part | $8.32 | $11.75 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.90 Typical High $50.12 | Professional | TC · Technical part | $19.95 | $30.90 | $50.12 |
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 $13.80 Median $17.78 Typical High $18.20 | Professional | 52 · Reduced service | $13.80 | $17.78 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $7.08 Typical High $7.24 | Professional | 53 · Discontinued | $5.50 | $7.08 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $22.91 | $28.84 | $28.84 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$47.86
AK $95.50FL $25.70
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.