How much rates vary
Facilitymedian $87 · 10th to 90th $36 to $178Professionalmedian $49 · 10th to 90th $30 to $78
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 $42.66 Typical High $120.23 | Facility | None | $36.31 | $42.66 | $120.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $10.96 Typical High $13.49 | Facility | 26 · Professional part | $8.32 | $10.96 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $35.48 Typical High $61.66 | Facility | TC · Technical part | $27.54 | $35.48 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $60.26 | Professional | None (both parts) | $30.20 | $36.31 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.32 Typical High $13.49 | Professional | 26 · Professional part | $7.41 | $8.32 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $45.71 | Professional | TC · Technical part | $22.91 | $27.54 | $45.71 |
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 $38.02 Median $54.95 Typical High $85.11 | Professional | None (both parts) | $38.02 | $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 $43.65 Typical High $66.07 | Professional | TC · Technical part | $30.90 | $43.65 | $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 $26.30 Median $39.81 Typical High $74.13 | Professional | None (both parts) | $26.30 | $39.81 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.47 Typical High $19.05 | Professional | 26 · Professional part | $7.08 | $10.47 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $27.54 Typical High $53.70 | Professional | TC · Technical part | $19.05 | $27.54 | $53.70 |
Denver HMP Setting Facility Modifier None Typical Low $32.36 Median $42.66 Typical High $58.88 | Facility | None | $32.36 | $42.66 | $58.88 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $79.43 | Professional | None | $37.15 | $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 $27.54 Median $41.69 Typical High $60.26 | Professional | TC · Technical part | $27.54 | $41.69 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $35.48 Median $66.07 Typical High $75.86 | Facility | None | $35.48 | $66.07 | $75.86 |
Select Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $44.67 Typical High $77.62 | Professional | None (both parts) | $27.54 | $44.67 | $77.62 |
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 $30.20 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $30.20 | $43.65 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.22 Typical High $18.20 | Professional | 26 · Professional part | $8.32 | $11.22 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $31.62 Typical High $52.48 | Professional | TC · Technical part | $21.38 | $31.62 | $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 $18.62 | Professional | 52 · Reduced service | $14.45 | $18.20 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.24 Typical High $7.41 | Professional | 53 · Discontinued | $5.75 | $7.24 | $7.41 |
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 $38.90 Median $47.86 Typical High $66.07 | Professional | 50 · Both sides | $38.90 | $47.86 | $66.07 |
Where Colorado sits
The same service costs 15.1 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· 15th of 51
$48.98
VT $407FL $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.