How much rates vary
Facilitymedian $229 · 10th to 90th $95 to $479Professionalmedian $132 · 10th to 90th $78 to $209
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 $95.50 Median $123.03 Typical High $162.18 | Facility | None | $95.50 | $123.03 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $95.50 Typical High $158.49 | Professional | None (both parts) | $77.62 | $95.50 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.62 Typical High $30.20 | Professional | 26 · Professional part | $16.22 | $18.62 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $77.62 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $467.74 | Facility | None | $213.80 | $251.19 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $109.65 | $154.88 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $42.66 | Professional | 26 · Professional part | $20.89 | $29.51 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $87.10 | $125.89 | $194.98 |
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 $66.07 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $66.07 | $100.00 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $23.44 Typical High $42.66 | Professional | 26 · Professional part | $15.85 | $23.44 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $75.86 Typical High $147.91 | Professional | TC · Technical part | $48.98 | $75.86 | $147.91 |
Denver HMP Setting Facility Modifier None Typical Low $87.10 Median $107.15 Typical High $138.04 | Facility | None | $87.10 | $107.15 | $138.04 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $208.93 | Professional | None | $100.00 | $144.54 | $208.93 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $19.05 | $26.92 | $39.81 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $169.82 | Professional | TC · Technical part | $81.28 | $117.49 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $177.83 Typical High $199.53 | Facility | None | $95.50 | $177.83 | $199.53 |
Select Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $95.50 Typical High $186.21 | Professional | None (both parts) | $72.44 | $95.50 | $186.21 |
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 $75.86 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $75.86 | $117.49 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $18.20 | $25.12 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $91.20 Typical High $147.91 | Professional | TC · Technical part | $57.54 | $91.20 | $147.91 |
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 $39.81 Median $47.86 Typical High $51.29 | Professional | 52 · Reduced service | $39.81 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.05 Typical High $20.42 | Professional | 53 · Discontinued | $15.85 | $19.05 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $77.62 Typical High $79.43 | Professional | FX · Film X-ray | $66.07 | $77.62 | $79.43 |
Where Colorado sits
The same service costs 4.0 times more in Alaska than in Utah. 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
$135
AK $263UT $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.