How much rates vary
Facilitymedian $631 · 10th to 90th $275 to $1,288Professionalmedian $372 · 10th to 90th $245 to $692
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 $275.42 Median $630.96 Typical High $1,380.38 | Facility | None | $275.42 | $630.96 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $234.42 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $63.10 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $338.84 | Professional | TC · Technical part | $173.78 | $208.93 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $691.83 Typical High $1,288.25 | Facility | None | $588.84 | $691.83 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $478.63 Typical High $891.25 | Professional | None (both parts) | $275.42 | $478.63 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $95.50 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $371.54 Typical High $741.31 | Professional | TC · Technical part | $190.55 | $371.54 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $537.03 | Facility | None | $117.49 | $125.89 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $371.54 Typical High $758.58 | Professional | None (both parts) | $239.88 | $371.54 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $141.25 | Professional | 26 · Professional part | $50.12 | $67.61 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $295.12 Typical High $588.84 | Professional | TC · Technical part | $181.97 | $295.12 | $588.84 |
Denver HMP Setting Facility Modifier None Typical Low $275.42 Median $389.05 Typical High $549.54 | Facility | None | $275.42 | $389.05 | $549.54 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $549.54 | Professional | None | $257.04 | $380.19 | $549.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $58.88 | $87.10 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $295.12 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $457.09 Typical High $524.81 | Facility | None | $245.47 | $457.09 | $524.81 |
Select Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $194.98 | $257.04 | $478.63 |
United Setting Facility Modifier None Typical Low $758.58 Median $812.83 Typical High $912.01 | Facility | None | $758.58 | $812.83 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $660.69 | Professional | None (both parts) | $281.84 | $407.38 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $51.29 | $85.11 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $323.59 Typical High $512.86 | Professional | TC · Technical part | $218.78 | $323.59 | $512.86 |
5 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 $114.82 Median $134.90 Typical High $173.78 | Professional | 52 · Reduced service | $114.82 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $54.95 Typical High $69.18 | Professional | 53 · Discontinued | $45.71 | $54.95 | $69.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $194.98 Median $229.09 Typical High $239.88 | Professional | CT · Older CT scanner | $194.98 | $229.09 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $218.78 Typical High $229.09 | Professional | FX · Film X-ray | $181.97 | $218.78 | $229.09 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $446.68 Typical High $724.44 | Professional | 50 · Both sides | $331.13 | $446.68 | $724.44 |
Where Colorado sits
The same service costs 5.0 times more in Alaska than in Utah. 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
$398
AK $891UT $178
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.