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 $69.18 Median $120.23 Typical High $162.18 | Facility | None | $69.18 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $69.18 Typical High $100.00 | Professional | None (both parts) | $61.66 | $69.18 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $21.88 | $23.99 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $67.61 | Professional | TC · Technical part | $38.90 | $45.71 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $74.13 | $102.33 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $35.48 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $100.00 | Professional | TC · Technical part | $51.29 | $69.18 | $100.00 |
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 $61.66 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $61.66 | $95.50 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.11 Typical High $53.70 | Professional | 26 · Professional part | $20.89 | $33.11 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $61.66 Typical High $112.20 | Professional | TC · Technical part | $39.81 | $61.66 | $112.20 |
Denver HMP Setting Facility Modifier None Typical Low $63.10 Median $97.72 Typical High $147.91 | Facility | None | $63.10 | $97.72 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $302.00 | Professional | None | $158.49 | $199.53 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $34.67 | $53.70 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $239.88 | Professional | TC · Technical part | $131.83 | $165.96 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $302.00 | Facility | None | $144.54 | $269.15 | $302.00 |
Select Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $144.54 | $144.54 | $269.15 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.12 Typical High $45.71 | Professional | 26 · Professional part | $19.05 | $25.12 | $45.71 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $120.23 | $120.23 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $331.13 | Professional | None (both parts) | $154.88 | $199.53 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $40.74 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $123.03 | $158.49 | $263.03 |
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 $30.90 Median $34.67 Typical High $40.74 | Professional | 52 · Reduced service | $30.90 | $34.67 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.80 Typical High $16.22 | Professional | 53 · Discontinued | $12.30 | $13.80 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | FX · Film X-ray | $51.29 | $54.95 | $54.95 |
Where Colorado sits
The same service costs 6.6 times more in Nebraska 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· 40th of 51
$105
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.