How much rates vary
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 $302.00 Median $549.54 Typical High $1,348.96 | Facility | None | $302.00 | $549.54 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $549.54 | Professional | None (both parts) | $275.42 | $309.03 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $77.62 | $93.33 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $208.93 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $208.93 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $831.76 Typical High $1,548.82 | Facility | None | $707.95 | $831.76 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $478.63 Typical High $1,000.00 | Professional | None (both parts) | $288.40 | $478.63 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $204.17 | Professional | 26 · Professional part | $95.50 | $138.04 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $380.19 Typical High $741.31 | Professional | TC · Technical part | $208.93 | $380.19 | $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 $281.84 Median $436.52 Typical High $912.01 | Professional | None (both parts) | $281.84 | $436.52 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $208.93 | Professional | 26 · Professional part | $74.13 | $100.00 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $323.59 Typical High $660.69 | Professional | TC · Technical part | $204.17 | $323.59 | $660.69 |
Denver HMP Setting Facility Modifier None Typical Low $302.00 Median $436.52 Typical High $691.83 | Facility | None | $302.00 | $436.52 | $691.83 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $602.56 | Professional | None | $288.40 | $426.58 | $602.56 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $128.82 Typical High $186.21 | Professional | 26 · Professional part | $87.10 | $128.82 | $186.21 |
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 $275.42 Median $512.86 Typical High $575.44 | Facility | None | $275.42 | $512.86 | $575.44 |
Select Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $537.03 | Professional | None (both parts) | $213.80 | $281.84 | $537.03 |
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 $331.13 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $331.13 | $478.63 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $125.89 Typical High $204.17 | Professional | 26 · Professional part | $74.13 | $125.89 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $363.08 Typical High $562.34 | Professional | TC · Technical part | $239.88 | $363.08 | $562.34 |
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 $128.82 Median $151.36 Typical High $190.55 | Professional | 52 · Reduced service | $128.82 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $60.26 Typical High $77.62 | Professional | 53 · Discontinued | $51.29 | $60.26 | $77.62 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $257.04 Typical High $269.15 | Professional | CT · Older CT scanner | $218.78 | $257.04 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $239.88 Typical High $251.19 | Professional | FX · Film X-ray | $204.17 | $239.88 | $251.19 |
Where Colorado sits
The same service costs 6.0 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· 19th of 51
$447
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.