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 $263.03 Median $446.68 Typical High $1,348.96 | Facility | None | $263.03 | $446.68 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $245.47 | $288.40 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $66.07 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $323.59 | Professional | TC · Technical part | $186.21 | $213.80 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $645.65 Typical High $1,202.26 | Facility | None | $549.54 | $645.65 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $478.63 Typical High $912.01 | Professional | None (both parts) | $269.15 | $478.63 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $67.61 | $100.00 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $354.81 Typical High $741.31 | Professional | TC · Technical part | $190.55 | $354.81 | $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 $208.93 Median $346.74 Typical High $707.95 | Professional | None (both parts) | $208.93 | $346.74 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $147.91 | Professional | 26 · Professional part | $52.48 | $70.79 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $263.03 Typical High $489.78 | Professional | TC · Technical part | $151.36 | $263.03 | $489.78 |
Denver HMP Setting Facility Modifier None Typical Low $263.03 Median $380.19 Typical High $501.19 | Facility | None | $263.03 | $380.19 | $501.19 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $371.54 Typical High $537.03 | Professional | None | $251.19 | $371.54 | $537.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $91.20 | $134.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $190.55 | $281.84 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $446.68 Typical High $512.86 | Facility | None | $239.88 | $446.68 | $512.86 |
Select Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $239.88 Typical High $467.74 | Professional | None (both parts) | $190.55 | $239.88 | $467.74 |
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 $251.19 Median $363.08 Typical High $588.84 | Professional | None (both parts) | $251.19 | $363.08 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $53.70 | $89.13 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $269.15 Typical High $426.58 | Professional | TC · Technical part | $186.21 | $269.15 | $426.58 |
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 $114.82 Median $131.83 Typical High $158.49 | Professional | 52 · Reduced service | $114.82 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $52.48 Typical High $63.10 | Professional | 53 · Discontinued | $45.71 | $52.48 | $63.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $194.98 Median $223.87 Typical High $239.88 | Professional | CT · Older CT scanner | $194.98 | $223.87 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $213.80 Typical High $229.09 | Professional | FX · Film X-ray | $181.97 | $213.80 | $229.09 |
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· 16th of 51
$372
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.