How much rates vary
Facilitymedian $407 · 10th to 90th $162 to $6,166Professionalmedian $251 · 10th to 90th $166 to $427
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 $169.82 Typical High $263.03 | Facility | None | $120.23 | $169.82 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $151.36 | $169.82 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $93.33 Typical High $138.04 | Professional | 26 · Professional part | $60.26 | $93.33 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $234.42 | Professional | TC · Technical part | $70.79 | $75.86 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $446.68 Typical High $831.76 | Facility | None | $380.19 | $446.68 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $407.38 | Professional | None (both parts) | $186.21 | $269.15 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $141.25 Typical High $213.80 | Professional | 26 · Professional part | $102.33 | $141.25 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $218.78 | Professional | TC · Technical part | $87.10 | $123.03 | $218.78 |
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 $144.54 Median $245.47 Typical High $524.81 | Professional | None (both parts) | $144.54 | $245.47 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $93.33 Typical High $199.53 | Professional | 26 · Professional part | $60.26 | $93.33 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $138.04 Typical High $371.54 | Professional | TC · Technical part | $64.57 | $138.04 | $371.54 |
Denver HMP Setting Facility Modifier None Typical Low $169.82 Median $239.88 Typical High $707.95 | Facility | None | $169.82 | $239.88 | $707.95 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $251.19 Typical High $371.54 | Professional | None | $177.83 | $251.19 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $138.04 | $190.55 |
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 $165.96 Median $309.03 Typical High $354.81 | Facility | None | $165.96 | $309.03 | $354.81 |
Select Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $128.82 | $169.82 | $323.59 |
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 $181.97 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $181.97 | $295.12 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $114.82 Typical High $199.53 | Professional | 26 · Professional part | $64.57 | $114.82 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $144.54 Typical High $346.74 | Professional | TC · Technical part | $81.28 | $144.54 | $346.74 |
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 $72.44 Median $85.11 Typical High $97.72 | Professional | 52 · Reduced service | $72.44 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.88 Typical High $39.81 | Professional | 53 · Discontinued | $28.84 | $33.88 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $114.82 | $134.90 | $134.90 |
Where Colorado sits
The same service costs 5.1 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
$251
AK $513UT $100
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.