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 $162.18 | Facility | None | $120.23 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $181.97 | Professional | None (both parts) | $131.83 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $63.10 | Professional | 26 · Professional part | $48.98 | $54.95 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $120.23 | Professional | TC · Technical part | $83.18 | $107.15 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $776.25 | Facility | None | $354.81 | $416.87 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $169.82 | $257.04 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $89.13 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $123.03 | $169.82 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $3,162.28 Typical High $10,000.00 | Facility | None | $117.49 | $3,162.28 | $10,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $223.87 Typical High $501.19 | Professional | None (both parts) | $134.90 | $223.87 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $46.77 | $70.79 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $165.96 Typical High $407.38 | Professional | TC · Technical part | $89.13 | $165.96 | $407.38 |
Denver HMP Setting Facility Modifier None Typical Low $158.49 Median $234.42 Typical High $676.08 | Facility | None | $158.49 | $234.42 | $676.08 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $346.74 | Professional | None | $165.96 | $239.88 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $56.23 | $79.43 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $109.65 | $158.49 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $295.12 Typical High $331.13 | Facility | None | $158.49 | $295.12 | $331.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $123.03 | $158.49 | $309.03 |
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 $169.82 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $169.82 | $275.42 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $56.23 | $75.86 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $181.97 Typical High $331.13 | Professional | TC · Technical part | $109.65 | $181.97 | $331.13 |
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 $66.07 Median $81.28 Typical High $93.33 | Professional | 52 · Reduced service | $66.07 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $32.36 Typical High $37.15 | Professional | 53 · Discontinued | $26.30 | $32.36 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $104.71 | $131.83 | $131.83 |
Where Colorado sits
The same service costs 4.4 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· 20th of 51
$240
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.