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 $120.23 Median $162.18 Typical High $363.08 | Facility | None | $120.23 | $162.18 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $190.55 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $112.20 | Professional | 26 · Professional part | $85.11 | $102.33 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $102.33 | $169.82 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $1,445.44 | Facility | None | $660.69 | $776.25 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $389.05 Typical High $537.03 | Professional | None (both parts) | $275.42 | $389.05 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $208.93 | Professional | 26 · Professional part | $107.15 | $147.91 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $338.84 | Professional | TC · Technical part | $169.82 | $245.47 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $416.87 | Facility | None | $117.49 | $147.91 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $177.83 | $234.42 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $89.13 | $93.33 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $87.10 | $134.90 | $245.47 |
Denver HMP Setting Facility Modifier None Typical Low $245.47 Median $275.42 Typical High $602.56 | Facility | None | $245.47 | $275.42 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $602.56 | Professional | None | $323.59 | $398.11 | $602.56 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $229.09 | Professional | 26 · Professional part | $120.23 | $144.54 | $229.09 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $389.05 | Professional | TC · Technical part | $213.80 | $263.03 | $389.05 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $616.60 | Facility | None | $151.36 | $295.12 | $616.60 |
Select Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $204.17 | $295.12 | $467.74 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $194.98 | Professional | 26 · Professional part | $83.18 | $104.71 | $194.98 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $138.04 | $190.55 | $346.74 |
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 $204.17 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $204.17 | $281.84 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $120.23 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $162.18 Typical High $275.42 | Professional | TC · Technical part | $102.33 | $162.18 | $275.42 |
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 $100.00 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $100.00 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $40.74 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $181.97 | $218.78 | $218.78 |
Where Colorado sits
The same service costs 5.4 times more in Alaska 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· 15th of 51
$339
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.