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 $331.13 Median $575.44 Typical High $1,348.96 | Facility | None | $331.13 | $575.44 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $707.95 | Professional | None (both parts) | $288.40 | $346.74 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $177.83 | Professional | 26 · Professional part | $104.71 | $123.03 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $489.78 | Professional | TC · Technical part | $186.21 | $213.80 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,137.96 | Facility | None | $977.24 | $1,148.15 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $489.78 Typical High $1,096.48 | Professional | None (both parts) | $309.03 | $489.78 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $181.97 Typical High $263.03 | Professional | 26 · Professional part | $125.89 | $181.97 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $380.19 Typical High $758.58 | Professional | TC · Technical part | $194.98 | $380.19 | $758.58 |
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 $354.81 Median $588.84 Typical High $1,202.26 | Professional | None (both parts) | $354.81 | $588.84 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $134.90 Typical High $275.42 | Professional | 26 · Professional part | $97.72 | $134.90 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $426.58 Typical High $912.01 | Professional | TC · Technical part | $257.04 | $426.58 | $912.01 |
Denver HMP Setting Facility Modifier None Typical Low $331.13 Median $478.63 Typical High $933.25 | Facility | None | $331.13 | $478.63 | $933.25 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $660.69 | Professional | None | $316.23 | $467.74 | $660.69 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $169.82 Typical High $251.19 | Professional | 26 · Professional part | $117.49 | $169.82 | $251.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $295.12 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $562.34 Typical High $630.96 | Facility | None | $302.00 | $562.34 | $630.96 |
Select Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $588.84 | Professional | None (both parts) | $239.88 | $309.03 | $588.84 |
United Setting Facility Modifier None Typical Low $758.58 Median $812.83 Typical High $912.01 | Facility | None | $758.58 | $812.83 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $630.96 Typical High $1,023.29 | Professional | None (both parts) | $426.58 | $630.96 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $165.96 Typical High $269.15 | Professional | 26 · Professional part | $102.33 | $165.96 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $467.74 Typical High $758.58 | Professional | TC · Technical part | $309.03 | $467.74 | $758.58 |
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 $141.25 Median $165.96 Typical High $204.17 | Professional | 52 · Reduced service | $141.25 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $66.07 Typical High $81.28 | Professional | 53 · Discontinued | $56.23 | $66.07 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $263.03 Typical High $281.84 | Professional | FX · Film X-ray | $223.87 | $263.03 | $281.84 |
Where Colorado sits
The same service costs 6.8 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· 24th of 51
$513
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.