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 $117.49 Median $120.23 Typical High $162.18 | Facility | None | $117.49 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $125.89 | Professional | None (both parts) | $97.72 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $42.66 | Professional | 26 · Professional part | $35.48 | $40.74 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $81.28 | Professional | TC · Technical part | $64.57 | $77.62 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $131.83 | $181.97 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $44.67 | $60.26 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $169.82 | Professional | TC · Technical part | $87.10 | $120.23 | $169.82 |
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 $107.15 Median $114.82 Typical High $257.04 | Professional | None (both parts) | $107.15 | $114.82 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $40.74 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $177.83 | Professional | TC · Technical part | $70.79 | $75.86 | $177.83 |
Denver HMP Setting Facility Modifier None Typical Low $107.15 Median $151.36 Typical High $213.80 | Facility | None | $107.15 | $151.36 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $436.52 | Professional | None | $234.42 | $295.12 | $436.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $53.70 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $190.55 | $239.88 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $398.11 Typical High $446.68 | Facility | None | $213.80 | $398.11 | $446.68 |
Select Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $213.80 | $213.80 | $398.11 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $38.90 | $70.79 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $323.59 | Professional | TC · Technical part | $173.78 | $173.78 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $213.80 | $309.03 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $50.12 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $169.82 | $263.03 | $436.52 |
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 $48.98 Median $58.88 Typical High $63.10 | Professional | 52 · Reduced service | $48.98 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $25.12 | Professional | 53 · Discontinued | $19.95 | $23.44 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $83.18 | $93.33 | $93.33 |
Where Colorado sits
The same service costs 5.2 times more in North Dakota 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· 27th 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.