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 $933.25 Typical High $1,995.26 | Facility | None | $446.68 | $933.25 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $371.54 | $446.68 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $107.15 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $501.19 | Professional | TC · Technical part | $269.15 | $338.84 | $501.19 |
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 $407.38 Median $741.31 Typical High $1,348.96 | Professional | None (both parts) | $407.38 | $741.31 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $204.17 | Professional | 26 · Professional part | $95.50 | $138.04 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $524.81 Typical High $1,023.29 | Professional | TC · Technical part | $281.84 | $524.81 | $1,023.29 |
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 $549.54 Typical High $1,071.52 | Professional | None (both parts) | $323.59 | $549.54 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $208.93 | Professional | 26 · Professional part | $74.13 | $100.00 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $426.58 Typical High $812.83 | Professional | TC · Technical part | $251.19 | $426.58 | $812.83 |
Denver HMP Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $831.76 | Facility | None | $446.68 | $645.65 | $831.76 |
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 $87.10 Median $128.82 Typical High $186.21 | Professional | 26 · Professional part | $87.10 | $128.82 | $186.21 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $416.87 Typical High $630.96 | Professional | TC · Technical part | $281.84 | $416.87 | $630.96 |
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 Professional Modifier None (both parts) Typical Low $389.05 Median $588.84 Typical High $933.25 | Professional | None (both parts) | $389.05 | $588.84 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $120.23 Typical High $199.53 | Professional | 26 · Professional part | $75.86 | $120.23 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $457.09 Typical High $724.44 | Professional | TC · Technical part | $302.00 | $457.09 | $724.44 |
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 $117.49 | Professional | 53 · Discontinued | $70.79 | $89.13 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $363.08 Typical High $371.54 | Professional | FX · Film X-ray | $281.84 | $363.08 | $371.54 |
Where Colorado sits
The same service costs 5.2 times more in Wyoming than in Texas. 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· 17th of 51
$589
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.