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 $169.82 | Facility | None | $120.23 | $162.18 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $186.21 | Professional | None (both parts) | $141.25 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $66.07 | Professional | 26 · Professional part | $50.12 | $57.54 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $117.49 | Professional | TC · Technical part | $91.20 | $109.65 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $190.55 | $269.15 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $93.33 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $177.83 Typical High $257.04 | Professional | TC · Technical part | $125.89 | $177.83 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $125.89 | Facility | None | $117.49 | $123.03 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $141.25 | $208.93 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $50.12 | $74.13 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $251.19 | Professional | TC · Technical part | $91.20 | $128.82 | $251.19 |
Denver HMP Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $257.04 | Facility | None | $162.18 | $213.80 | $257.04 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $323.59 | Professional | None | $154.88 | $223.87 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $83.18 | $123.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $204.17 | Professional | TC · Technical part | $97.72 | $141.25 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $275.42 Typical High $309.03 | Facility | None | $147.91 | $275.42 | $309.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $147.91 | $147.91 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $158.49 | $229.09 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $56.23 | $81.28 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $151.36 Typical High $239.88 | Professional | TC · Technical part | $91.20 | $151.36 | $239.88 |
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 $70.79 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $70.79 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $33.88 Typical High $38.02 | Professional | 53 · Discontinued | $28.18 | $33.88 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $112.20 | $134.90 | $134.90 |
Where Colorado sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 13th of 51
$234
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.