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 $107.15 Median $120.23 Typical High $162.18 | Facility | None | $107.15 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $114.82 | Professional | None (both parts) | $87.10 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $28.84 | Professional | 26 · Professional part | $22.39 | $26.30 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $85.11 | Professional | TC · Technical part | $66.07 | $81.28 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $117.49 | $158.49 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $53.70 | Professional | 26 · Professional part | $28.18 | $38.02 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $162.18 | Professional | TC · Technical part | $87.10 | $117.49 | $162.18 |
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 $93.33 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $93.33 | $102.33 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $22.91 | $25.12 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $141.25 | Professional | TC · Technical part | $70.79 | $77.62 | $141.25 |
Denver HMP Setting Facility Modifier None Typical Low $63.10 Median $128.82 Typical High $190.55 | Facility | None | $63.10 | $128.82 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $229.09 | Professional | None | $120.23 | $151.36 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $35.48 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $91.20 | $117.49 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $208.93 Typical High $234.42 | Facility | None | $112.20 | $208.93 | $234.42 |
Select Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $112.20 | $112.20 | $208.93 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $21.38 | $25.70 | $46.77 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $158.49 | Professional | TC · Technical part | $87.10 | $87.10 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $125.89 | $162.18 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $25.70 | $31.62 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $100.00 | $131.83 | $213.80 |
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 $43.65 Median $53.70 Typical High $54.95 | Professional | 52 · Reduced service | $43.65 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.38 Typical High $21.88 | Professional | 53 · Discontinued | $17.38 | $21.38 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $74.13 | $85.11 | $85.11 |
Where Colorado sits
The same service costs 4.0 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· 20th of 51
$145
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.