How much rates vary
Facilitymedian $302 · 10th to 90th $120 to $741Professionalmedian $182 · 10th to 90th $115 to $302
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 $114.82 Median $120.23 Typical High $162.18 | Facility | None | $114.82 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $114.82 | $114.82 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $36.31 | Professional | 26 · Professional part | $25.12 | $30.90 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $83.18 | $83.18 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $331.13 Typical High $616.60 | Facility | None | $275.42 | $331.13 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $141.25 | $208.93 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $46.77 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $107.15 | $158.49 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $707.95 Typical High $1,445.44 | Facility | None | $117.49 | $707.95 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $281.84 | Professional | None (both parts) | $104.71 | $151.36 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $25.12 | $37.15 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $114.82 Typical High $218.78 | Professional | TC · Technical part | $75.86 | $114.82 | $218.78 |
Denver HMP Setting Facility Modifier None Typical Low $114.82 Median $158.49 Typical High $229.09 | Facility | None | $114.82 | $158.49 | $229.09 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $269.15 | Professional | None | $128.82 | $186.21 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $47.86 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $91.20 | $134.90 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $229.09 Typical High $257.04 | Facility | None | $123.03 | $229.09 | $257.04 |
Select Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $87.10 | $123.03 | $239.88 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $1,819.70 | Facility | None | $1,513.56 | $1,584.89 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $120.23 | $173.78 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $39.81 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $134.90 | $223.87 |
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 $54.95 Median $57.54 Typical High $75.86 | Professional | 52 · Reduced service | $54.95 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $30.20 | Professional | 53 · Discontinued | $21.88 | $22.91 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $91.20 Typical High $120.23 | Professional | FX · Film X-ray | $89.13 | $91.20 | $120.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $128.82 Median $177.83 Typical High $213.80 | Professional | 50 · Both sides | $128.82 | $177.83 | $213.80 |
Where Colorado sits
The same service costs 3.5 times more in Alaska 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· 12th of 51
$186
AK $355TX $100
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.