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 $309.03 Median $549.54 Typical High $1,348.96 | Facility | None | $309.03 | $549.54 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $588.84 | Professional | None (both parts) | $275.42 | $316.23 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $138.04 | Professional | 26 · Professional part | $83.18 | $97.72 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $208.93 Typical High $416.87 | Professional | TC · Technical part | $190.55 | $208.93 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,659.59 | Facility | None | $758.58 | $891.25 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $489.78 Typical High $1,000.00 | Professional | None (both parts) | $288.40 | $489.78 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $147.91 Typical High $213.80 | Professional | 26 · Professional part | $95.50 | $147.91 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $380.19 Typical High $741.31 | Professional | TC · Technical part | $213.80 | $380.19 | $741.31 |
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 $295.12 Median $467.74 Typical High $977.24 | Professional | None (both parts) | $295.12 | $467.74 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $218.78 | Professional | 26 · Professional part | $77.62 | $104.71 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $218.78 | $363.08 | $724.44 |
Denver HMP Setting Facility Modifier None Typical Low $309.03 Median $436.52 Typical High $724.44 | Facility | None | $309.03 | $436.52 | $724.44 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $616.60 | Professional | None | $295.12 | $426.58 | $616.60 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $93.33 | $134.90 | $199.53 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $295.12 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $512.86 Typical High $588.84 | Facility | None | $275.42 | $512.86 | $588.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $537.03 | Professional | None (both parts) | $218.78 | $288.40 | $537.03 |
United Setting Facility Modifier None Typical Low $758.58 Median $812.83 Typical High $912.01 | Facility | None | $758.58 | $812.83 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $524.81 Typical High $851.14 | Professional | None (both parts) | $363.08 | $524.81 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $131.83 Typical High $213.80 | Professional | 26 · Professional part | $79.43 | $131.83 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $398.11 Typical High $616.60 | Professional | TC · Technical part | $263.03 | $398.11 | $616.60 |
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 $128.82 Median $154.88 Typical High $194.98 | Professional | 52 · Reduced service | $128.82 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $61.66 Typical High $77.62 | Professional | 53 · Discontinued | $51.29 | $61.66 | $77.62 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $263.03 Typical High $275.42 | Professional | CT · Older CT scanner | $218.78 | $263.03 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $245.47 Typical High $257.04 | Professional | FX · Film X-ray | $208.93 | $245.47 | $257.04 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $524.81 Typical High $724.44 | Professional | 50 · Both sides | $407.38 | $524.81 | $724.44 |
Where Colorado sits
The same service costs 6.2 times more in Alaska 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
$457
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.