How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $158.49 Typical High $162.18 | Facility | None | $120.23 | $158.49 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $128.82 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $26.92 | Professional | 26 · Professional part | $20.42 | $23.44 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $141.25 | Professional | TC · Technical part | $109.65 | $134.90 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $426.58 Typical High $794.33 | Facility | None | $363.08 | $426.58 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $181.97 | $251.19 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $38.02 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $151.36 | $213.80 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $346.74 Typical High $707.95 | Facility | None | $117.49 | $346.74 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $323.59 | Professional | None (both parts) | $112.20 | $165.96 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $19.95 | $30.20 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $91.20 | $138.04 | $269.15 |
Denver HMP Setting Facility Modifier None Typical Low $144.54 Median $177.83 Typical High $229.09 | Facility | None | $144.54 | $177.83 | $229.09 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $354.81 | Professional | None | $169.82 | $239.88 | $354.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $51.29 | Professional | 26 · Professional part | $23.99 | $34.67 | $51.29 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $208.93 Typical High $302.00 | Professional | TC · Technical part | $144.54 | $208.93 | $302.00 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $295.12 Typical High $338.84 | Facility | None | $158.49 | $295.12 | $338.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $120.23 | $158.49 | $309.03 |
United Setting Facility Modifier None Typical Low $758.58 Median $812.83 Typical High $912.01 | Facility | None | $758.58 | $812.83 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $125.89 | $199.53 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $51.29 | Professional | 26 · Professional part | $23.44 | $32.36 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $102.33 | $169.82 | $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 $64.57 Median $79.43 Typical High $85.11 | Professional | 52 · Reduced service | $64.57 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $31.62 Typical High $33.88 | Professional | 53 · Discontinued | $25.70 | $31.62 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $125.89 Typical High $128.82 | Professional | FX · Film X-ray | $109.65 | $125.89 | $128.82 |
Where Colorado sits
The same service costs 3.8 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· 12th of 51
$224
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.