How much rates vary
Facilitymedian $126 · 10th to 90th $52 to $257Professionalmedian $71 · 10th to 90th $45 to $115
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 $52.48 Median $64.57 Typical High $162.18 | Facility | None | $52.48 | $64.57 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $52.48 Typical High $89.13 | Professional | None (both parts) | $43.65 | $52.48 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $25.12 | Professional | 26 · Professional part | $13.49 | $15.85 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $60.26 | Professional | TC · Technical part | $30.20 | $37.15 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $257.04 | Facility | None | $117.49 | $138.04 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $81.28 Typical High $123.03 | Professional | None (both parts) | $57.54 | $81.28 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.12 Typical High $36.31 | Professional | 26 · Professional part | $17.78 | $25.12 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $56.23 Typical High $87.10 | Professional | TC · Technical part | $40.74 | $56.23 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $426.58 | Facility | None | $107.15 | $165.96 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $109.65 | Professional | None (both parts) | $40.74 | $57.54 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.95 Typical High $35.48 | Professional | 26 · Professional part | $13.18 | $19.95 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.02 Typical High $72.44 | Professional | TC · Technical part | $26.92 | $38.02 | $72.44 |
Denver HMP Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $102.33 | Facility | None | $47.86 | $64.57 | $102.33 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $114.82 | Professional | None | $54.95 | $77.62 | $114.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.91 Typical High $33.88 | Professional | 26 · Professional part | $15.85 | $22.91 | $33.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $54.95 Typical High $79.43 | Professional | TC · Technical part | $38.02 | $54.95 | $79.43 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $109.65 | Facility | None | $51.29 | $95.50 | $109.65 |
Select Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $100.00 | Professional | None (both parts) | $40.74 | $51.29 | $100.00 |
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 $45.71 Median $64.57 Typical High $100.00 | Professional | None (both parts) | $45.71 | $64.57 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.38 Typical High $33.88 | Professional | 26 · Professional part | $15.14 | $21.38 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $69.18 | Professional | TC · Technical part | $29.51 | $42.66 | $69.18 |
3 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 $21.88 Median $26.30 Typical High $28.18 | Professional | 52 · Reduced service | $21.88 | $26.30 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.47 Typical High $11.22 | Professional | 53 · Discontinued | $8.71 | $10.47 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $42.66 Typical High $42.66 | Professional | FX · Film X-ray | $34.67 | $42.66 | $42.66 |
Where Colorado sits
The same service costs 4.5 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· 13th of 51
$72.44
AK $148UT $33.11
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.