How much rates vary
Facilitymedian $83 · 10th to 90th $34 to $170Professionalmedian $47 · 10th to 90th $28 to $74
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 $33.88 Median $43.65 Typical High $120.23 | Facility | None | $33.88 | $43.65 | $120.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $10.23 Typical High $13.18 | Facility | 26 · Professional part | $7.94 | $10.23 | $13.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $120.23 | Facility | TC · Technical part | $26.30 | $33.11 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $56.23 | Professional | None (both parts) | $28.18 | $33.88 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $13.18 | Professional | 26 · Professional part | $7.08 | $7.94 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $42.66 | Professional | TC · Technical part | $20.89 | $26.30 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $91.20 Typical High $169.82 | Facility | None | $77.62 | $91.20 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $53.70 Typical High $81.28 | Professional | None (both parts) | $38.02 | $53.70 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.88 Typical High $19.05 | Professional | 26 · Professional part | $9.12 | $12.88 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $40.74 Typical High $61.66 | Professional | TC · Technical part | $28.84 | $40.74 | $61.66 |
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 $23.44 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $23.44 | $37.15 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.00 Typical High $18.62 | Professional | 26 · Professional part | $6.76 | $10.00 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $25.12 Typical High $50.12 | Professional | TC · Technical part | $16.22 | $25.12 | $50.12 |
Denver HMP Setting Facility Modifier None Typical Low $30.90 Median $38.90 Typical High $54.95 | Facility | None | $30.90 | $38.90 | $54.95 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $74.13 | Professional | None | $35.48 | $51.29 | $74.13 |
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 $25.70 Median $38.90 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $38.90 | $56.23 |
Select Health Setting Facility Modifier None Typical Low $33.88 Median $63.10 Typical High $70.79 | Facility | None | $33.88 | $63.10 | $70.79 |
Select Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $42.66 Typical High $69.18 | Professional | None (both parts) | $25.70 | $42.66 | $69.18 |
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 $26.92 Median $41.69 Typical High $66.07 | Professional | None (both parts) | $26.92 | $41.69 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.22 Typical High $18.20 | Professional | 26 · Professional part | $7.59 | $11.22 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $30.90 Typical High $48.98 | Professional | TC · Technical part | $18.62 | $30.90 | $48.98 |
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 $13.80 Median $16.98 Typical High $17.78 | Professional | 52 · Reduced service | $13.80 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.76 Typical High $7.08 | Professional | 53 · Discontinued | $5.50 | $6.76 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $26.92 Typical High $26.92 | Professional | FX · Film X-ray | $22.39 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $44.67 Typical High $63.10 | Professional | 50 · Both sides | $36.31 | $44.67 | $63.10 |
Where Colorado sits
The same service costs 3.8 times more in Alaska 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
$46.77
AK $95.50FL $25.12
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.