How much rates vary
Facilitymedian $209 · 10th to 90th $105 to $589Professionalmedian $123 · 10th to 90th $81 to $219
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 $83.18 Median $120.23 Typical High $162.18 | Facility | None | $83.18 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $208.93 | Professional | None (both parts) | $77.62 | $83.18 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.12 Typical High $39.81 | Professional | 26 · Professional part | $16.60 | $25.12 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $199.53 | Professional | TC · Technical part | $52.48 | $57.54 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $426.58 | Facility | None | $190.55 | $229.09 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $95.50 | $131.83 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $38.02 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $177.83 | Professional | TC · Technical part | $66.07 | $93.33 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $489.78 Typical High $1,445.44 | Facility | None | $117.49 | $489.78 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $69.18 | $117.49 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $16.60 | $25.70 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $93.33 Typical High $173.78 | Professional | TC · Technical part | $45.71 | $93.33 | $173.78 |
Denver HMP Setting Facility Modifier None Typical Low $67.61 Median $104.71 Typical High $177.83 | Facility | None | $67.61 | $104.71 | $177.83 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $186.21 | Professional | None | $89.13 | $128.82 | $186.21 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $38.02 | $54.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $63.10 | $91.20 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $158.49 Typical High $177.83 | Facility | None | $85.11 | $158.49 | $177.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $85.11 Typical High $165.96 | Professional | None (both parts) | $63.10 | $85.11 | $165.96 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $1,819.70 | Facility | None | $1,513.56 | $1,584.89 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $128.82 Typical High $371.54 | Professional | None (both parts) | $83.18 | $128.82 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $17.78 | $30.90 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $97.72 Typical High $354.81 | Professional | TC · Technical part | $52.48 | $97.72 | $354.81 |
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 $33.88 Median $41.69 Typical High $45.71 | Professional | 52 · Reduced service | $33.88 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.60 Typical High $18.20 | Professional | 53 · Discontinued | $13.49 | $16.60 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $66.07 Typical High $66.07 | Professional | FX · Film X-ray | $53.70 | $66.07 | $66.07 |
Where Colorado sits
The same service costs 5.4 times more in New York than in Texas. 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· 21st of 51
$129
NY $355TX $66.07
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.