How much rates vary
Facilitymedian $79 · 10th to 90th $33 to $162Professionalmedian $45 · 10th to 90th $28 to $72
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 $33.11 Median $42.66 Typical High $120.23 | Facility | None | $33.11 | $42.66 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $114.82 | Facility | TC · Technical part | $25.12 | $32.36 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $26.92 | $33.11 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.32 Typical High $13.49 | Professional | 26 · Professional part | $7.24 | $8.32 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $41.69 | Professional | TC · Technical part | $19.50 | $25.12 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $87.10 Typical High $162.18 | Facility | None | $74.13 | $87.10 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $50.12 Typical High $77.62 | Professional | None (both parts) | $36.31 | $50.12 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.88 Typical High $19.05 | Professional | 26 · Professional part | $9.12 | $12.88 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.02 Typical High $57.54 | Professional | TC · Technical part | $27.54 | $38.02 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $426.58 | Facility | None | $107.15 | $125.89 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $35.48 Typical High $67.61 | Professional | None (both parts) | $22.91 | $35.48 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.23 Typical High $18.62 | Professional | 26 · Professional part | $7.08 | $10.23 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.99 Typical High $47.86 | Professional | TC · Technical part | $15.85 | $23.99 | $47.86 |
Denver HMP Setting Facility Modifier None Typical Low $30.20 Median $38.90 Typical High $47.86 | Facility | None | $30.20 | $38.90 | $47.86 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $72.44 | Professional | None | $34.67 | $50.12 | $72.44 |
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 $26.30 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $26.30 | $37.15 | $54.95 |
Select Health Setting Facility Modifier None Typical Low $33.11 Median $60.26 Typical High $69.18 | Facility | None | $33.11 | $60.26 | $69.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $25.12 | $33.11 | $64.57 |
United Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $549.54 | Facility | None | $457.09 | $478.63 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $39.81 Typical High $63.10 | Professional | None (both parts) | $26.30 | $39.81 | $63.10 |
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 $18.20 Median $28.84 Typical High $46.77 | Professional | TC · Technical part | $18.20 | $28.84 | $46.77 |
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 $13.18 Median $16.60 Typical High $16.98 | Professional | 52 · Reduced service | $13.18 | $16.60 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.61 Typical High $6.76 | Professional | 53 · Discontinued | $5.25 | $6.61 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $26.30 Typical High $26.30 | Professional | FX · Film X-ray | $21.88 | $26.30 | $26.30 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $34.67 Median $43.65 Typical High $61.66 | Professional | 50 · Both sides | $34.67 | $43.65 | $61.66 |
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· 16th of 51
$44.67
AK $91.20FL $24.55
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.