How much rates vary
Facilitymedian $275 · 10th to 90th $117 to $977Professionalmedian $324 · 10th to 90th $89 to $537
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $162.18 Typical High $275.42 | Facility | None | $120.23 | $162.18 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $190.55 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $34.67 | Professional | 26 · Professional part | $26.92 | $30.20 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $186.21 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $389.05 Typical High $588.84 | Professional | None (both parts) | $257.04 | $389.05 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $48.98 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $371.54 Typical High $575.44 | Professional | TC · Technical part | $251.19 | $371.54 | $575.44 |
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 $74.13 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $74.13 | $104.71 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $69.18 | Professional | 26 · Professional part | $25.70 | $38.02 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $46.77 | $63.10 | $125.89 |
Denver HMP Setting Facility Modifier None Typical Low $109.65 Median $275.42 Typical High $398.11 | Facility | None | $109.65 | $275.42 | $398.11 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $562.34 | Professional | None | $281.84 | $398.11 | $562.34 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $43.65 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $389.05 Typical High $549.54 | Professional | TC · Technical part | $257.04 | $389.05 | $549.54 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $537.03 Typical High $602.56 | Facility | None | $288.40 | $537.03 | $602.56 |
Select Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $79.43 | $288.40 | $562.34 |
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 $87.10 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $87.10 | $331.13 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $41.69 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $295.12 Typical High $489.78 | Professional | TC · Technical part | $56.23 | $295.12 | $489.78 |
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 $97.72 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $97.72 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $39.81 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $162.18 | $218.78 | $218.78 |
Where Colorado sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 3rd of 51
$324
NE $389HI $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.