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 $295.12 Median $616.60 Typical High $1,698.24 | Facility | None | $295.12 | $616.60 | $1,698.24 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $1,000.00 | Facility | TC · Technical part | $213.80 | $323.59 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $275.42 | $371.54 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $70.79 | $95.50 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $194.98 | $263.03 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $616.60 Typical High $1,148.15 | Facility | None | $524.81 | $616.60 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $562.34 Typical High $891.25 | Professional | None (both parts) | $288.40 | $562.34 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $72.44 | $104.71 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $363.08 Typical High $776.25 | Professional | TC · Technical part | $181.97 | $363.08 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $831.76 | Facility | None | $117.49 | $125.89 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $426.58 Typical High $870.96 | Professional | None (both parts) | $213.80 | $426.58 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $158.49 | Professional | 26 · Professional part | $56.23 | $74.13 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $316.23 Typical High $691.83 | Professional | TC · Technical part | $158.49 | $316.23 | $691.83 |
Denver HMP Setting Facility Modifier None Typical Low $295.12 Median $457.09 Typical High $758.58 | Facility | None | $295.12 | $457.09 | $758.58 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $562.34 | Professional | None | $245.47 | $363.08 | $562.34 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $97.72 | $154.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $177.83 | $263.03 | $436.52 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $436.52 Typical High $489.78 | Facility | None | $234.42 | $436.52 | $489.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $181.97 | $234.42 | $457.09 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,258.93 | Facility | None | $1,047.13 | $1,096.48 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $467.74 Typical High $741.31 | Professional | None (both parts) | $281.84 | $467.74 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $57.54 | $95.50 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $346.74 Typical High $562.34 | Professional | TC · Technical part | $204.17 | $346.74 | $562.34 |
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 $117.49 Median $147.91 Typical High $251.19 | Professional | 52 · Reduced service | $117.49 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $58.88 Typical High $100.00 | Professional | 53 · Discontinued | $46.77 | $58.88 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $239.88 Typical High $323.59 | Professional | FX · Film X-ray | $186.21 | $239.88 | $323.59 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $338.84 Median $724.44 Typical High $1,230.27 | Professional | 50 · Both sides | $338.84 | $724.44 | $1,230.27 |
Where Colorado sits
The same service costs 5.5 times more in Wyoming 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· 20th of 51
$468
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.