How much rates vary
Facilitymedian $575 · 10th to 90th $269 to $1,380Professionalmedian $407 · 10th to 90th $214 to $794
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 $269.15 Median $616.60 Typical High $1,698.24 | Facility | None | $269.15 | $616.60 | $1,698.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $91.20 Typical High $125.89 | Facility | 26 · Professional part | $81.28 | $91.20 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $870.96 | Facility | TC · Technical part | $190.55 | $295.12 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $616.60 | Professional | None (both parts) | $251.19 | $354.81 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $72.44 | $93.33 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $426.58 | Professional | TC · Technical part | $173.78 | $234.42 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $1,071.52 | Facility | None | $489.78 | $575.44 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $501.19 Typical High $812.83 | Professional | None (both parts) | $251.19 | $501.19 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $72.44 | $107.15 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $309.03 Typical High $776.25 | Professional | TC · Technical part | $154.88 | $309.03 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $831.76 | Facility | None | $117.49 | $125.89 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $380.19 Typical High $776.25 | Professional | None (both parts) | $194.98 | $380.19 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $162.18 | Professional | 26 · Professional part | $56.23 | $75.86 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $263.03 Typical High $645.65 | Professional | TC · Technical part | $138.04 | $263.03 | $645.65 |
Denver HMP Setting Facility Modifier None Typical Low $269.15 Median $457.09 Typical High $724.44 | Facility | None | $269.15 | $457.09 | $724.44 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $331.13 Typical High $501.19 | Professional | None | $223.87 | $331.13 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $67.61 | $100.00 | $158.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $389.05 | Professional | TC · Technical part | $158.49 | $234.42 | $389.05 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $398.11 Typical High $446.68 | Facility | None | $213.80 | $398.11 | $446.68 |
Select Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $165.96 | $213.80 | $416.87 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,258.93 | Facility | None | $1,047.13 | $1,096.48 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $407.38 Typical High $676.08 | Professional | None (both parts) | $234.42 | $407.38 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $58.88 | $97.72 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $288.40 Typical High $489.78 | Professional | TC · Technical part | $162.18 | $288.40 | $489.78 |
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 $107.15 Median $134.90 Typical High $251.19 | Professional | 52 · Reduced service | $107.15 | $134.90 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $53.70 Typical High $100.00 | Professional | 53 · Discontinued | $42.66 | $53.70 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $218.78 Typical High $323.59 | Professional | FX · Film X-ray | $169.82 | $218.78 | $323.59 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $302.00 Median $724.44 Typical High $1,230.27 | Professional | 50 · Both sides | $302.00 | $724.44 | $1,230.27 |
Where Colorado sits
The same service costs 7.1 times more in Vermont 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
$427
VT $955UT $135
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.