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 $154.88 Median $446.68 Typical High $1,348.96 | Facility | None | $154.88 | $446.68 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $173.78 Typical High $346.74 | Professional | None (both parts) | $154.88 | $173.78 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $61.66 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $213.80 | Professional | TC · Technical part | $95.50 | $102.33 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $380.19 Typical High $707.95 | Facility | None | $323.59 | $380.19 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $154.88 | $338.84 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $93.33 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $199.53 Typical High $354.81 | Professional | TC · Technical part | $91.20 | $199.53 | $354.81 |
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 $131.83 Median $223.87 Typical High $489.78 | Professional | None (both parts) | $131.83 | $223.87 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $154.88 | Professional | 26 · Professional part | $48.98 | $66.07 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $144.54 Typical High $323.59 | Professional | TC · Technical part | $77.62 | $144.54 | $323.59 |
Denver HMP Setting Facility Modifier None Typical Low $154.88 Median $234.42 Typical High $407.38 | Facility | None | $154.88 | $234.42 | $407.38 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $331.13 | Professional | None | $147.91 | $218.78 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $85.11 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $134.90 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $263.03 Typical High $302.00 | Facility | None | $141.25 | $263.03 | $302.00 |
Select Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $112.20 | $144.54 | $275.42 |
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 $151.36 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $151.36 | $239.88 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $50.12 | $83.18 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $91.20 | $158.49 | $229.09 |
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 $69.18 Median $77.62 Typical High $109.65 | Professional | 52 · Reduced service | $69.18 | $77.62 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.90 Typical High $43.65 | Professional | 53 · Discontinued | $27.54 | $30.90 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $117.49 Median $131.83 Typical High $147.91 | Professional | CT · Older CT scanner | $117.49 | $131.83 | $147.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $125.89 Typical High $138.04 | Professional | FX · Film X-ray | $112.20 | $125.89 | $138.04 |
Where Colorado sits
The same service costs 5.4 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· 19th of 51
$245
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.