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 $120.23 Median $158.49 Typical High $162.18 | Facility | None | $120.23 | $158.49 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $141.25 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $77.62 | Professional | 26 · Professional part | $58.88 | $67.61 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $81.28 | $93.33 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $371.54 Typical High $691.83 | Facility | None | $316.23 | $371.54 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $190.55 | $275.42 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $104.71 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $165.96 Typical High $245.47 | Professional | TC · Technical part | $112.20 | $165.96 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $281.84 Typical High $2,511.89 | Facility | None | $117.49 | $281.84 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $128.82 | $218.78 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $83.18 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $263.03 | Professional | TC · Technical part | $70.79 | $128.82 | $263.03 |
Denver HMP Setting Facility Modifier None Typical Low $158.49 Median $229.09 Typical High $380.19 | Facility | None | $158.49 | $229.09 | $380.19 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $309.03 | Professional | None | $144.54 | $213.80 | $309.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $91.20 | $134.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $117.49 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $257.04 Typical High $295.12 | Facility | None | $138.04 | $257.04 | $295.12 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $123.03 | $158.49 | $269.15 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $4,073.80 | Facility | None | $3,388.44 | $3,630.78 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $144.54 | $229.09 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $89.13 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $138.04 Typical High $204.17 | Professional | TC · Technical part | $75.86 | $138.04 | $204.17 |
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 $69.18 Median $79.43 Typical High $87.10 | Professional | 52 · Reduced service | $69.18 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $31.62 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $128.82 Typical High $134.90 | Professional | FX · Film X-ray | $114.82 | $128.82 | $134.90 |
Where Colorado sits
The same service costs 4.6 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· 14th of 51
$240
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.