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 $147.91 Median $426.58 Typical High $1,230.27 | Facility | None | $147.91 | $426.58 | $1,230.27 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $151.36 Typical High $446.68 | Facility | TC · Technical part | $97.72 | $151.36 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $331.13 | Professional | None (both parts) | $147.91 | $177.83 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $83.18 | Professional | 26 · Professional part | $46.77 | $51.29 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $114.82 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $363.08 Typical High $676.08 | Facility | None | $309.03 | $363.08 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $162.18 | $316.23 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $77.62 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $95.50 | $204.17 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $537.03 | Facility | None | $117.49 | $125.89 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $229.09 Typical High $457.09 | Professional | None (both parts) | $125.89 | $229.09 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $128.82 | Professional | 26 · Professional part | $41.69 | $58.88 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $158.49 Typical High $338.84 | Professional | TC · Technical part | $81.28 | $158.49 | $338.84 |
Denver HMP Setting Facility Modifier None Typical Low $147.91 Median $213.80 Typical High $371.54 | Facility | None | $147.91 | $213.80 | $371.54 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $323.59 | Professional | None | $144.54 | $208.93 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $48.98 | $72.44 | $107.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $138.04 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $251.19 Typical High $288.40 | Facility | None | $134.90 | $251.19 | $288.40 |
Select Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $107.15 | $138.04 | $263.03 |
United Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $549.54 | Facility | None | $457.09 | $478.63 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $158.49 | $239.88 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $70.79 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $109.65 | $173.78 | $263.03 |
5 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 $66.07 Median $74.13 Typical High $107.15 | Professional | 52 · Reduced service | $66.07 | $74.13 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $29.51 Typical High $42.66 | Professional | 53 · Discontinued | $26.30 | $29.51 | $42.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $112.20 Median $125.89 Typical High $151.36 | Professional | CT · Older CT scanner | $112.20 | $125.89 | $151.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $120.23 Typical High $141.25 | Professional | FX · Film X-ray | $104.71 | $120.23 | $141.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $190.55 Median $389.05 Typical High $645.65 | Professional | 50 · Both sides | $190.55 | $389.05 | $645.65 |
Where Colorado sits
The same service costs 5.8 times more in Vermont than in Utah. 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· 21st of 51
$240
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.