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 $43.65 Median $67.61 Typical High $162.18 | Facility | None | $43.65 | $67.61 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $43.65 Typical High $75.86 | Professional | None (both parts) | $38.90 | $43.65 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.49 Typical High $23.99 | Professional | 26 · Professional part | $13.49 | $15.49 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.18 Typical High $52.48 | Professional | TC · Technical part | $24.55 | $28.18 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $117.49 Typical High $213.80 | Facility | None | $97.72 | $117.49 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $67.61 Typical High $102.33 | Professional | None (both parts) | $46.77 | $67.61 | $102.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $24.55 Typical High $35.48 | Professional | 26 · Professional part | $17.38 | $24.55 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $44.67 Typical High $69.18 | Professional | TC · Technical part | $31.62 | $44.67 | $69.18 |
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 $34.67 Median $64.57 Typical High $109.65 | Professional | None (both parts) | $34.67 | $64.57 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.50 Typical High $35.48 | Professional | 26 · Professional part | $13.18 | $19.50 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $41.69 Typical High $72.44 | Professional | TC · Technical part | $21.38 | $41.69 | $72.44 |
Denver HMP Setting Facility Modifier None Typical Low $38.90 Median $63.10 Typical High $93.33 | Facility | None | $38.90 | $63.10 | $93.33 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $95.50 | Professional | None | $45.71 | $66.07 | $95.50 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.91 Typical High $33.88 | Professional | 26 · Professional part | $15.85 | $22.91 | $33.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $61.66 | Professional | TC · Technical part | $29.51 | $42.66 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $43.65 Median $81.28 Typical High $91.20 | Facility | None | $43.65 | $81.28 | $91.20 |
Select Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $43.65 Typical High $85.11 | Professional | None (both parts) | $33.11 | $43.65 | $85.11 |
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 $40.74 Median $66.07 Typical High $93.33 | Professional | None (both parts) | $40.74 | $66.07 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.38 Typical High $33.88 | Professional | 26 · Professional part | $15.49 | $21.38 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $40.74 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $40.74 | $60.26 |
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 $17.78 Median $21.88 Typical High $23.99 | Professional | 52 · Reduced service | $17.78 | $21.88 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.71 Typical High $9.55 | Professional | 53 · Discontinued | $7.08 | $8.71 | $9.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $34.67 Typical High $34.67 | Professional | FX · Film X-ray | $28.18 | $34.67 | $34.67 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in New York. 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· 16th of 51
$64.57
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.