How much rates vary
Facilitymedian $87 · 10th to 90th $36 to $178Professionalmedian $49 · 10th to 90th $30 to $79
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 $36.31 Median $45.71 Typical High $120.23 | Facility | None | $36.31 | $45.71 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $35.48 Typical High $128.82 | Facility | TC · Technical part | $27.54 | $35.48 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $36.31 Typical High $60.26 | Professional | None (both parts) | $29.51 | $36.31 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.32 Typical High $13.80 | Professional | 26 · Professional part | $7.94 | $8.32 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $46.77 | Professional | TC · Technical part | $21.88 | $27.54 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $177.83 | Facility | None | $81.28 | $95.50 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $54.95 Typical High $85.11 | Professional | None (both parts) | $39.81 | $54.95 | $85.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.88 Typical High $19.05 | Professional | 26 · Professional part | $9.33 | $12.88 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $30.90 | $42.66 | $66.07 |
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 $24.55 Median $38.90 Typical High $74.13 | Professional | None (both parts) | $24.55 | $38.90 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.72 Typical High $19.05 | Professional | 26 · Professional part | $7.08 | $10.72 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.92 Typical High $53.70 | Professional | TC · Technical part | $16.98 | $26.92 | $53.70 |
Denver HMP Setting Facility Modifier None Typical Low $32.36 Median $41.69 Typical High $69.18 | Facility | None | $32.36 | $41.69 | $69.18 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $79.43 | Professional | None | $38.02 | $53.70 | $79.43 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.30 Typical High $17.78 | Professional | 26 · Professional part | $8.13 | $12.30 | $17.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $41.69 Typical High $61.66 | Professional | TC · Technical part | $28.18 | $41.69 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $36.31 Median $67.61 Typical High $75.86 | Facility | None | $36.31 | $67.61 | $75.86 |
Select Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $44.67 Typical High $85.11 | Professional | None (both parts) | $27.54 | $44.67 | $85.11 |
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 $44.67 Typical High $69.18 | Professional | None (both parts) | $28.18 | $44.67 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $8.32 | $11.75 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $33.11 Typical High $52.48 | Professional | TC · Technical part | $19.50 | $33.11 | $52.48 |
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 $14.45 Median $18.20 Typical High $19.05 | Professional | 52 · Reduced service | $14.45 | $18.20 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.24 Typical High $7.59 | Professional | 53 · Discontinued | $5.75 | $7.24 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $23.99 | $28.84 | $28.84 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $46.77 Typical High $66.07 | Professional | 50 · Both sides | $38.02 | $46.77 | $66.07 |
Where Colorado sits
The same service costs 12.9 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· 13th of 51
$50.12
VT $347FL $26.92
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.