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 $120.23 Median $162.18 Typical High $186.21 | Facility | None | $120.23 | $162.18 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $223.87 | Professional | None (both parts) | $158.49 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $26.30 | Professional | 26 · Professional part | $20.42 | $23.44 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $194.98 | Professional | TC · Technical part | $134.90 | $162.18 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $501.19 Typical High $933.25 | Facility | None | $426.58 | $501.19 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $213.80 | $316.23 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $37.15 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $275.42 Typical High $398.11 | Professional | TC · Technical part | $190.55 | $275.42 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $5,248.07 Typical High $12,589.25 | Facility | None | $117.49 | $5,248.07 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $263.03 Typical High $537.03 | Professional | None (both parts) | $162.18 | $263.03 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $19.95 | $30.20 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $229.09 Typical High $478.63 | Professional | TC · Technical part | $141.25 | $229.09 | $478.63 |
Denver HMP Setting Facility Modifier None Typical Low $186.21 Median $263.03 Typical High $676.08 | Facility | None | $186.21 | $263.03 | $676.08 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $407.38 | Professional | None | $194.98 | $281.84 | $407.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $25.12 | $35.48 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $363.08 | Professional | TC · Technical part | $169.82 | $245.47 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $186.21 Median $346.74 Typical High $389.05 | Facility | None | $186.21 | $346.74 | $389.05 |
Select Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $363.08 | Professional | None (both parts) | $141.25 | $186.21 | $363.08 |
United Setting Facility Modifier None Typical Low $13,803.84 Median $14,454.40 Typical High $16,595.87 | Facility | None | $13,803.84 | $14,454.40 | $16,595.87 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $199.53 | $323.59 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $33.11 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $288.40 Typical High $416.87 | Professional | TC · Technical part | $177.83 | $288.40 | $416.87 |
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 $81.28 Median $93.33 Typical High $112.20 | Professional | 52 · Reduced service | $81.28 | $93.33 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $37.15 Typical High $44.67 | Professional | 53 · Discontinued | $32.36 | $37.15 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $147.91 Typical High $154.88 | Professional | FX · Film X-ray | $131.83 | $147.91 | $154.88 |
Where Colorado sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 21st of 51
$288
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.