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 $446.68 Median $794.33 Typical High $1,698.24 | Facility | None | $446.68 | $794.33 | $1,698.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $131.83 Median $151.36 Typical High $208.93 | Facility | 26 · Professional part | $131.83 | $151.36 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $478.63 Typical High $1,445.44 | Facility | TC · Technical part | $316.23 | $478.63 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $831.76 | Professional | None (both parts) | $371.54 | $457.09 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $204.17 | Professional | 26 · Professional part | $109.65 | $131.83 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $512.86 | Professional | TC · Technical part | $263.03 | $316.23 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $933.25 Typical High $1,737.80 | Facility | None | $794.33 | $933.25 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $741.31 Typical High $1,348.96 | Professional | None (both parts) | $426.58 | $741.31 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $169.82 Typical High $245.47 | Professional | 26 · Professional part | $117.49 | $169.82 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $537.03 Typical High $1,230.27 | Professional | TC · Technical part | $269.15 | $537.03 | $1,230.27 |
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 $323.59 Median $602.56 Typical High $1,380.38 | Professional | None (both parts) | $323.59 | $602.56 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $257.04 | Professional | 26 · Professional part | $91.20 | $125.89 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $446.68 Typical High $1,047.13 | Professional | TC · Technical part | $229.09 | $446.68 | $1,047.13 |
Denver HMP Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $1,380.38 | Facility | None | $446.68 | $707.95 | $1,380.38 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $776.25 | Professional | None | $354.81 | $537.03 | $776.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $107.15 | $158.49 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $616.60 | Professional | TC · Technical part | $263.03 | $380.19 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $645.65 Typical High $741.31 | Facility | None | $354.81 | $645.65 | $741.31 |
Select Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $354.81 Typical High $691.83 | Professional | None (both parts) | $275.42 | $354.81 | $691.83 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $1,819.70 | Facility | None | $1,513.56 | $1,584.89 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $707.95 Typical High $1,202.26 | Professional | None (both parts) | $416.87 | $707.95 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $154.88 Typical High $257.04 | Professional | 26 · Professional part | $95.50 | $154.88 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $512.86 Typical High $912.01 | Professional | TC · Technical part | $302.00 | $512.86 | $912.01 |
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 $177.83 Median $223.87 Typical High $295.12 | Professional | 52 · Reduced service | $177.83 | $223.87 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $89.13 Typical High $120.23 | Professional | 53 · Discontinued | $70.79 | $89.13 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $363.08 Typical High $363.08 | Professional | FX · Film X-ray | $281.84 | $363.08 | $363.08 |
Where Colorado sits
The same service costs 5.8 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
$617
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.