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 $120.23 Median $141.25 Typical High $162.18 | Facility | None | $120.23 | $141.25 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $114.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $38.02 | Professional | 26 · Professional part | $30.90 | $37.15 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $104.71 | Professional | TC · Technical part | $83.18 | $102.33 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $281.84 | Professional | None (both parts) | $144.54 | $204.17 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $53.70 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $147.91 Typical High $204.17 | Professional | TC · Technical part | $107.15 | $147.91 | $204.17 |
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 $123.03 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $123.03 | $131.83 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $35.48 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $97.72 | $165.96 |
Denver HMP Setting Facility Modifier None Typical Low $89.13 Median $169.82 Typical High $223.87 | Facility | None | $89.13 | $169.82 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $251.19 | Professional | None | $131.83 | $165.96 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $50.12 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $87.10 | $117.49 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $223.87 Typical High $257.04 | Facility | None | $123.03 | $223.87 | $257.04 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $123.03 | $123.03 | $223.87 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $35.48 | $66.07 |
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 $138.04 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $138.04 | $173.78 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $36.31 | $44.67 | $70.79 |
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 $57.54 Median $70.79 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.18 Typical High $28.84 | Professional | 53 · Discontinued | $22.91 | $28.18 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $97.72 | $112.20 | $112.20 |
Where Colorado sits
The same service costs 4.5 times more in Alaska than in Maryland. 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
$178
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.