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 $416.87 Median $707.95 Typical High $1,698.24 | Facility | None | $416.87 | $707.95 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $371.54 | $426.58 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $97.72 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $501.19 | Professional | TC · Technical part | $263.03 | $316.23 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $870.96 Typical High $1,621.81 | Facility | None | $741.31 | $870.96 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $691.83 Typical High $1,258.93 | Professional | None (both parts) | $380.19 | $691.83 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $181.97 | Professional | 26 · Professional part | $87.10 | $125.89 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $537.03 Typical High $1,047.13 | Professional | TC · Technical part | $269.15 | $537.03 | $1,047.13 |
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 $302.00 Median $512.86 Typical High $1,047.13 | Professional | None (both parts) | $302.00 | $512.86 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $190.55 | Professional | 26 · Professional part | $67.61 | $89.13 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $389.05 Typical High $776.25 | Professional | TC · Technical part | $234.42 | $389.05 | $776.25 |
Denver HMP Setting Facility Modifier None Typical Low $416.87 Median $588.84 Typical High $870.96 | Facility | None | $416.87 | $588.84 | $870.96 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $724.44 | Professional | None | $346.74 | $501.19 | $724.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $117.49 | $186.21 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $389.05 Typical High $616.60 | Professional | TC · Technical part | $263.03 | $389.05 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $691.83 | Facility | None | $331.13 | $602.56 | $691.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $257.04 | $331.13 | $645.65 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $4,073.80 | Facility | None | $3,388.44 | $3,630.78 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $562.34 Typical High $933.25 | Professional | None (both parts) | $371.54 | $562.34 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $69.18 | $114.82 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $457.09 Typical High $724.44 | Professional | TC · Technical part | $288.40 | $457.09 | $724.44 |
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 $162.18 Median $208.93 Typical High $275.42 | Professional | 52 · Reduced service | $162.18 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $83.18 Typical High $112.20 | Professional | 53 · Discontinued | $66.07 | $83.18 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $331.13 Typical High $346.74 | Professional | FX · Film X-ray | $263.03 | $331.13 | $346.74 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $776.25 Typical High $1,288.25 | Professional | 50 · Both sides | $457.09 | $776.25 | $1,288.25 |
Where Colorado sits
The same service costs 5.4 times more in Wyoming than in Texas. 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
$562
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.