How much rates vary
Facilitymedian $339 · 10th to 90th $126 to $741Professionalmedian $191 · 10th to 90th $105 to $302
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 $138.04 Typical High $162.18 | Facility | None | $120.23 | $138.04 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $97.72 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $32.36 | Professional | 26 · Professional part | $23.99 | $27.54 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $112.20 Typical High $117.49 | Professional | TC · Technical part | $74.13 | $112.20 | $117.49 |
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 $158.49 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $158.49 | $218.78 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $44.67 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $173.78 Typical High $269.15 | Professional | TC · Technical part | $120.23 | $173.78 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $707.95 Typical High $1,445.44 | Facility | None | $117.49 | $707.95 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $89.13 | $141.25 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $23.44 | $35.48 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $104.71 Typical High $204.17 | Professional | TC · Technical part | $64.57 | $104.71 | $204.17 |
Denver HMP Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $199.53 | Facility | None | $117.49 | $138.04 | $199.53 |
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 $147.91 Median $213.80 Typical High $309.03 | Professional | None | $147.91 | $213.80 | $309.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $41.69 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $169.82 Typical High $251.19 | Professional | TC · Technical part | $117.49 | $169.82 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $257.04 Typical High $295.12 | Facility | None | $141.25 | $257.04 | $295.12 |
Select Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $107.15 | $141.25 | $275.42 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $1,819.70 | Facility | None | $1,513.56 | $1,584.89 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $100.00 | $162.18 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $25.70 | $38.02 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $74.13 | $125.89 | $213.80 |
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 $56.23 Median $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $56.23 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.18 Typical High $28.84 | Professional | 53 · Discontinued | $22.91 | $28.18 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $95.50 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $123.03 Median $181.97 Typical High $257.04 | Professional | 50 · Both sides | $123.03 | $181.97 | $257.04 |
Where Colorado sits
The same service costs 4.2 times more in Alaska than in New York. 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· 12th of 51
$195
AK $398NY $95.50
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.