How much rates vary
Facilitymedian $100 · 10th to 90th $41 to $204Professionalmedian $55 · 10th to 90th $32 to $85
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 $39.81 Median $50.12 Typical High $117.49 | Facility | None | $39.81 | $50.12 | $117.49 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $8.71 Typical High $11.48 | Facility | 26 · Professional part | $6.92 | $8.71 | $11.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $41.69 Typical High $75.86 | Facility | TC · Technical part | $32.36 | $41.69 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $40.74 Typical High $69.18 | Professional | None (both parts) | $31.62 | $40.74 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.92 Typical High $11.48 | Professional | 26 · Professional part | $6.03 | $6.92 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $57.54 | Professional | TC · Technical part | $25.70 | $33.88 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $204.17 | Facility | None | $93.33 | $109.65 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $63.10 Typical High $93.33 | Professional | None (both parts) | $44.67 | $63.10 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $15.85 | Professional | 26 · Professional part | $7.59 | $10.96 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $50.12 Typical High $77.62 | Professional | TC · Technical part | $36.31 | $50.12 | $77.62 |
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 $25.70 Median $39.81 Typical High $75.86 | Professional | None (both parts) | $25.70 | $39.81 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.71 Typical High $15.85 | Professional | 26 · Professional part | $5.89 | $8.71 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $30.90 Typical High $61.66 | Professional | TC · Technical part | $19.50 | $30.90 | $61.66 |
Denver HMP Setting Facility Modifier None Typical Low $31.62 Median $40.74 Typical High $58.88 | Facility | None | $31.62 | $40.74 | $58.88 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $63.10 Typical High $91.20 | Professional | None | $43.65 | $63.10 | $91.20 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.23 Typical High $14.79 | Professional | 26 · Professional part | $7.08 | $10.23 | $14.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $52.48 Typical High $75.86 | Professional | TC · Technical part | $36.31 | $52.48 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $77.62 Typical High $87.10 | Facility | None | $41.69 | $77.62 | $87.10 |
Select Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $41.69 Typical High $81.28 | Professional | None (both parts) | $28.84 | $41.69 | $81.28 |
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 $28.18 Median $45.71 Typical High $75.86 | Professional | None (both parts) | $28.18 | $45.71 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $9.33 Typical High $15.14 | Professional | 26 · Professional part | $6.03 | $9.33 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $37.15 Typical High $63.10 | Professional | TC · Technical part | $21.38 | $37.15 | $63.10 |
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 $15.49 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $15.49 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $6.17 | $8.13 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $26.30 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $52.48 Typical High $75.86 | Professional | 50 · Both sides | $39.81 | $52.48 | $75.86 |
Where Colorado sits
The same service costs 11.5 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· 15th of 51
$54.95
VT $339FL $29.51
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.