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 $117.49 Median $120.23 Typical High $162.18 | Facility | None | $117.49 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $141.25 | Professional | None (both parts) | $97.72 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $47.86 | Professional | 26 · Professional part | $36.31 | $40.74 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $102.33 | Professional | TC · Technical part | $63.10 | $75.86 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $338.84 Typical High $630.96 | Facility | None | $288.40 | $338.84 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $128.82 | $186.21 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $63.10 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $177.83 | Professional | TC · Technical part | $87.10 | $123.03 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $208.93 Typical High $6,309.57 | Facility | None | $117.49 | $208.93 | $6,309.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $158.49 Typical High $363.08 | Professional | None (both parts) | $91.20 | $158.49 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $95.50 | Professional | 26 · Professional part | $34.67 | $52.48 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $100.00 Typical High $257.04 | Professional | TC · Technical part | $57.54 | $100.00 | $257.04 |
Denver HMP Setting Facility Modifier None Typical Low $117.49 Median $165.96 Typical High $389.05 | Facility | None | $117.49 | $165.96 | $389.05 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $281.84 | Professional | None | $134.90 | $194.98 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $61.66 | $91.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $131.83 Typical High $190.55 | Professional | TC · Technical part | $91.20 | $131.83 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $239.88 Typical High $269.15 | Facility | None | $128.82 | $239.88 | $269.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $89.13 | $128.82 | $251.19 |
United Setting Facility Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,912.51 | Facility | None | $8,511.38 | $8,511.38 | $8,912.51 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $109.65 | $173.78 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $56.23 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $64.57 | $104.71 | $186.21 |
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 $48.98 Median $58.88 Typical High $63.10 | Professional | 52 · Reduced service | $48.98 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $25.12 | Professional | 53 · Discontinued | $19.95 | $23.44 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $79.43 | $93.33 | $93.33 |
Where Colorado sits
The same service costs 4.0 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· 18th of 51
$170
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.