How much rates vary
Facilitymedian $56 · 10th to 90th $28 to $162Professionalmedian $32 · 10th to 90th $20 to $51
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 $22.91 Median $33.88 Typical High $120.23 | Facility | None | $22.91 | $33.88 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $22.91 Typical High $39.81 | Professional | None (both parts) | $20.42 | $22.91 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.59 Typical High $12.30 | Professional | 26 · Professional part | $6.46 | $7.59 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $15.14 Typical High $25.70 | Professional | TC · Technical part | $13.49 | $15.14 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $60.26 Typical High $112.20 | Facility | None | $51.29 | $60.26 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.91 Median $34.67 Typical High $52.48 | Professional | None (both parts) | $22.91 | $34.67 | $52.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.02 Typical High $17.38 | Professional | 26 · Professional part | $8.51 | $12.02 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $25.12 Typical High $35.48 | Professional | TC · Technical part | $17.38 | $25.12 | $35.48 |
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 $19.95 Median $29.51 Typical High $52.48 | Professional | None (both parts) | $19.95 | $29.51 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $6.46 | $9.55 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $18.62 Typical High $34.67 | Professional | TC · Technical part | $12.59 | $18.62 | $34.67 |
Denver HMP Setting Facility Modifier None Typical Low $22.39 Median $30.90 Typical High $46.77 | Facility | None | $22.39 | $30.90 | $46.77 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $34.67 Typical High $50.12 | Professional | None | $23.99 | $34.67 | $50.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.22 Typical High $16.60 | Professional | 26 · Professional part | $7.76 | $11.22 | $16.60 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.91 Typical High $33.11 | Professional | TC · Technical part | $15.85 | $22.91 | $33.11 |
Select Health Setting Facility Modifier None Typical Low $22.91 Median $41.69 Typical High $47.86 | Facility | None | $22.91 | $41.69 | $47.86 |
Select Health Setting Professional Modifier None (both parts) Typical Low $17.38 Median $22.91 Typical High $44.67 | Professional | None (both parts) | $17.38 | $22.91 | $44.67 |
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 $21.88 Median $30.90 Typical High $45.71 | Professional | None (both parts) | $21.88 | $30.90 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.23 Typical High $16.60 | Professional | 26 · Professional part | $7.24 | $10.23 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $19.95 Typical High $30.20 | Professional | TC · Technical part | $13.80 | $19.95 | $30.20 |
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 $9.33 Median $11.48 Typical High $12.59 | Professional | 52 · Reduced service | $9.33 | $11.48 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.57 Typical High $5.01 | Professional | 53 · Discontinued | $3.72 | $4.57 | $5.01 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.14 Median $18.20 Typical High $18.20 | Professional | FX · Film X-ray | $15.14 | $18.20 | $18.20 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $23.99 Median $34.67 Typical High $42.66 | Professional | 50 · Both sides | $23.99 | $34.67 | $42.66 |
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· 14th of 51
$31.62
AK $64.57FL $17.38
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.