How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $120.23 Median $162.18 Typical High $616.60 | Facility | None | $120.23 | $162.18 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $371.54 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $26.30 | Professional | 26 · Professional part | $19.50 | $22.39 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $398.11 | $602.56 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $549.54 Median $812.83 Typical High $1,258.93 | Professional | None (both parts) | $549.54 | $812.83 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $25.70 | $35.48 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $812.83 Typical High $1,230.27 | Professional | TC · Technical part | $537.03 | $812.83 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $602.56 Typical High $2,187.76 | Facility | None | $117.49 | $602.56 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $79.43 Typical High $144.54 | Professional | None (both parts) | $47.86 | $79.43 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.84 Typical High $53.70 | Professional | 26 · Professional part | $19.50 | $28.84 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $46.77 Typical High $89.13 | Professional | TC · Technical part | $28.84 | $46.77 | $89.13 |
Denver HMP Setting Facility Modifier None Typical Low $81.28 Median $616.60 Typical High $870.96 | Facility | None | $81.28 | $616.60 | $870.96 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $891.25 Typical High $1,258.93 | Professional | None | $602.56 | $891.25 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $33.11 | $47.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $891.25 Typical High $1,258.93 | Professional | TC · Technical part | $588.84 | $891.25 | $1,258.93 |
Select Health Setting Facility Modifier None Typical Low $616.60 Median $1,148.15 Typical High $1,288.25 | Facility | None | $616.60 | $1,148.15 | $1,288.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $616.60 Typical High $1,202.26 | Professional | None (both parts) | $60.26 | $616.60 | $1,202.26 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,884.03 | Facility | None | $2,398.83 | $2,511.89 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $616.60 Typical High $1,096.48 | Professional | None (both parts) | $74.13 | $616.60 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $22.91 | $30.90 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $602.56 Typical High $1,047.13 | Professional | TC · Technical part | $51.29 | $602.56 | $1,047.13 |
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 $194.98 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $194.98 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $77.62 | $123.03 | $123.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $489.78 Typical High $489.78 | Professional | FX · Film X-ray | $331.13 | $489.78 | $489.78 |
Where Colorado sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 1st of 51
$661
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.