How much rates vary
Facilitymedian $85 · 10th to 90th $35 to $174Professionalmedian $46 · 10th to 90th $28 to $74
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 $34.67 Median $43.65 Typical High $120.23 | Facility | None | $34.67 | $43.65 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $120.23 | Facility | TC · Technical part | $26.30 | $33.88 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $57.54 | Professional | None (both parts) | $28.18 | $34.67 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.32 Typical High $13.80 | Professional | 26 · Professional part | $7.24 | $8.32 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $44.67 | Professional | TC · Technical part | $20.89 | $26.30 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $93.33 Typical High $173.78 | Facility | None | $79.43 | $93.33 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $52.48 Typical High $79.43 | Professional | None (both parts) | $38.02 | $52.48 | $79.43 |
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 $28.18 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $28.18 | $39.81 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $125.89 Typical High $354.81 | Facility | None | $89.13 | $125.89 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $23.99 | $38.02 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.23 Typical High $19.05 | Professional | 26 · Professional part | $7.08 | $10.23 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.12 Typical High $48.98 | Professional | TC · Technical part | $16.60 | $25.12 | $48.98 |
Denver HMP Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $63.10 | Facility | None | $30.90 | $39.81 | $63.10 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $77.62 | Professional | None | $37.15 | $52.48 | $77.62 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.30 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $12.30 | $17.78 |
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 $34.67 Median $64.57 Typical High $74.13 | Facility | None | $34.67 | $64.57 | $74.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $26.30 Median $34.67 Typical High $67.61 | Professional | None (both parts) | $26.30 | $34.67 | $67.61 |
United Setting Facility Modifier None Typical Low $380.19 Median $398.11 Typical High $457.09 | Facility | None | $380.19 | $398.11 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $41.69 Typical High $64.57 | Professional | None (both parts) | $26.92 | $41.69 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.22 Typical High $18.20 | Professional | 26 · Professional part | $7.59 | $11.22 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $30.20 Typical High $48.98 | Professional | TC · Technical part | $18.62 | $30.20 | $48.98 |
4 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 $13.49 Median $17.38 Typical High $17.78 | Professional | 52 · Reduced service | $13.49 | $17.38 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.92 Typical High $7.08 | Professional | 53 · Discontinued | $5.37 | $6.92 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | FX · Film X-ray | $22.39 | $27.54 | $27.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $35.48 Median $44.67 Typical High $64.57 | Professional | 50 · Both sides | $35.48 | $44.67 | $64.57 |
Where Colorado sits
The same service costs 6.0 times more in Vermont 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· 16th of 51
$46.77
VT $155FL $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.