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 $102.33 Median $128.82 Typical High $169.82 | Facility | None | $102.33 | $128.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $81.28 | $102.33 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $20.89 | $29.51 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $120.23 | Professional | TC · Technical part | $61.66 | $72.44 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $263.03 Typical High $489.78 | Facility | None | $223.87 | $263.03 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $114.82 | $162.18 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $44.67 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $177.83 | Professional | TC · Technical part | $81.28 | $114.82 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $194.98 Typical High $707.95 | Facility | None | $117.49 | $194.98 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $75.86 | $107.15 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $66.07 | Professional | 26 · Professional part | $20.89 | $30.90 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $77.62 Typical High $147.91 | Professional | TC · Technical part | $54.95 | $77.62 | $147.91 |
Denver HMP Setting Facility Modifier None Typical Low $91.20 Median $109.65 Typical High $144.54 | Facility | None | $91.20 | $109.65 | $144.54 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $218.78 | Professional | None | $104.71 | $147.91 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $42.66 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $154.88 | Professional | TC · Technical part | $74.13 | $107.15 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $97.72 Median $181.97 Typical High $208.93 | Facility | None | $97.72 | $181.97 | $208.93 |
Select Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $77.62 | $100.00 | $190.55 |
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 $83.18 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $83.18 | $125.89 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $22.39 | $38.02 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $60.26 | $93.33 | $141.25 |
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 $42.66 Median $51.29 Typical High $54.95 | Professional | 52 · Reduced service | $42.66 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $20.42 Typical High $21.88 | Professional | 53 · Discontinued | $16.98 | $20.42 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $70.79 | $81.28 | $81.28 |
Where Colorado sits
The same service costs 3.8 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· 12th of 51
$141
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.