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 $104.71 Median $131.83 Typical High $162.18 | Facility | None | $104.71 | $131.83 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $173.78 | Professional | None (both parts) | $91.20 | $104.71 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $45.71 | Professional | 26 · Professional part | $26.30 | $27.54 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $75.86 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $123.03 | $158.49 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $42.66 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $165.96 | Professional | TC · Technical part | $89.13 | $117.49 | $165.96 |
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 $91.20 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $91.20 | $158.49 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $24.55 | $41.69 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $114.82 Typical High $173.78 | Professional | TC · Technical part | $67.61 | $114.82 | $173.78 |
Denver HMP Setting Facility Modifier None Typical Low $70.79 Median $131.83 Typical High $245.47 | Facility | None | $70.79 | $131.83 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $524.81 | Professional | None | $275.42 | $354.81 | $524.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $38.90 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $316.23 Typical High $467.74 | Professional | TC · Technical part | $251.19 | $316.23 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $489.78 Typical High $549.54 | Facility | None | $263.03 | $489.78 | $549.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $263.03 | $263.03 | $489.78 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $28.18 | $52.48 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $234.42 | $234.42 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $338.84 | Professional | None (both parts) | $165.96 | $204.17 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $85.11 | Professional | 26 · Professional part | $40.74 | $52.48 | $85.11 |
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 $45.71 Median $52.48 Typical High $67.61 | Professional | 52 · Reduced service | $45.71 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.89 Typical High $26.92 | Professional | 53 · Discontinued | $18.20 | $20.89 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $83.18 Typical High $87.10 | Professional | FX · Film X-ray | $79.43 | $83.18 | $87.10 |
Where Colorado sits
The same service costs 4.2 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· 34th of 51
$166
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.