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 $114.82 Median $549.54 Typical High $1,348.96 | Facility | None | $114.82 | $549.54 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $77.62 | $114.82 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $30.20 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $48.98 | $85.11 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $281.84 Typical High $512.86 | Facility | None | $234.42 | $281.84 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $112.20 | $245.47 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $45.71 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $158.49 Typical High $316.23 | Professional | TC · Technical part | $77.62 | $158.49 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $537.03 | Facility | None | $117.49 | $125.89 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $302.00 | Professional | None (both parts) | $87.10 | $134.90 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $67.61 | Professional | 26 · Professional part | $23.99 | $31.62 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $61.66 | $95.50 | $190.55 |
Denver HMP Setting Facility Modifier None Typical Low $102.33 Median $120.23 Typical High $234.42 | Facility | None | $102.33 | $120.23 | $234.42 |
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 $109.65 Median $162.18 Typical High $229.09 | Professional | None | $109.65 | $162.18 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $41.69 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $120.23 Typical High $169.82 | Professional | TC · Technical part | $81.28 | $120.23 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $194.98 Typical High $218.78 | Facility | None | $104.71 | $194.98 | $218.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $83.18 | $104.71 | $204.17 |
United Setting Facility Modifier None Typical Low $380.19 Median $398.11 Typical High $457.09 | Facility | None | $380.19 | $398.11 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $81.28 | $147.91 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $23.44 | $40.74 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $56.23 | $104.71 | $173.78 |
2 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 CT · Older CT scanner Typical Low $85.11 Median $97.72 Typical High $104.71 | Professional | CT · Older CT scanner | $85.11 | $97.72 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $93.33 Typical High $100.00 | Professional | FX · Film X-ray | $79.43 | $93.33 | $100.00 |
Where Colorado sits
The same service costs 4.2 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· 14th of 51
$155
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.