How much rates vary
Facilitymedian $257 · 10th to 90th $107 to $525Professionalmedian $138 · 10th to 90th $81 to $224
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 $102.33 Median $120.23 Typical High $162.18 | Facility | None | $102.33 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $104.71 | Professional | None (both parts) | $81.28 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $20.42 | Professional | 26 · Professional part | $15.49 | $18.20 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $66.07 | $83.18 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $281.84 Typical High $524.81 | Facility | None | $239.88 | $281.84 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $114.82 | $158.49 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.84 Typical High $41.69 | Professional | 26 · Professional part | $20.42 | $28.84 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $199.53 | Professional | TC · Technical part | $93.33 | $131.83 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $478.63 Typical High $977.24 | Facility | None | $117.49 | $478.63 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $72.44 | $104.71 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $23.99 Typical High $41.69 | Professional | 26 · Professional part | $15.49 | $23.99 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $79.43 Typical High $162.18 | Professional | TC · Technical part | $54.95 | $79.43 | $162.18 |
Denver HMP Setting Facility Modifier None Typical Low $91.20 Median $107.15 Typical High $144.54 | Facility | None | $91.20 | $107.15 | $144.54 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $234.42 | Professional | None | $112.20 | $162.18 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $19.50 | $27.54 | $40.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $93.33 | $131.83 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $194.98 Typical High $223.87 | Facility | None | $107.15 | $194.98 | $223.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $77.62 | $107.15 | $208.93 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,258.93 | Facility | None | $1,047.13 | $1,096.48 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $79.43 | $120.23 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $24.55 Typical High $38.90 | Professional | 26 · Professional part | $18.20 | $24.55 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $61.66 | $97.72 | $158.49 |
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 $40.74 Median $51.29 Typical High $52.48 | Professional | 52 · Reduced service | $40.74 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $20.42 Typical High $20.89 | Professional | 53 · Discontinued | $16.22 | $20.42 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $69.18 | $81.28 | $81.28 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 13th of 51
$141
AK $282KY $74.13
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.