How much rates vary
Facilitymedian $209 · 10th to 90th $89 to $427Professionalmedian $123 · 10th to 90th $66 to $195
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 $89.13 Median $120.23 Typical High $162.18 | Facility | None | $89.13 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $93.33 | Professional | None (both parts) | $72.44 | $89.13 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $18.20 | Professional | 26 · Professional part | $13.49 | $15.85 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $75.86 | Professional | TC · Technical part | $57.54 | $72.44 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $229.09 Typical High $426.58 | Facility | None | $194.98 | $229.09 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $100.00 | $144.54 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.12 Typical High $36.31 | Professional | 26 · Professional part | $17.78 | $25.12 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $117.49 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $117.49 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $181.97 Typical High $575.44 | Facility | None | $117.49 | $181.97 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $56.23 | $85.11 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.95 Typical High $35.48 | Professional | 26 · Professional part | $13.18 | $19.95 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $41.69 | $69.18 | $138.04 |
Denver HMP Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $125.89 | Facility | None | $72.44 | $89.13 | $125.89 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $186.21 | Professional | None | $89.13 | $128.82 | $186.21 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $33.11 | Professional | 26 · Professional part | $15.49 | $22.39 | $33.11 |
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 $85.11 Median $158.49 Typical High $177.83 | Facility | None | $85.11 | $158.49 | $177.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $165.96 | Professional | None (both parts) | $67.61 | $85.11 | $165.96 |
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 $58.88 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $58.88 | $104.71 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.38 Typical High $33.88 | Professional | 26 · Professional part | $15.14 | $21.38 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $47.86 | $85.11 | $138.04 |
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 $36.31 Median $44.67 Typical High $46.77 | Professional | 52 · Reduced service | $36.31 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $17.78 Typical High $18.62 | Professional | 53 · Discontinued | $14.45 | $17.78 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $70.79 Typical High $72.44 | Professional | FX · Film X-ray | $61.66 | $70.79 | $72.44 |
Where Colorado sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$126
AK $251KY $58.88
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.