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 $181.97 | Facility | None | $120.23 | $162.18 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $147.91 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $61.66 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $128.82 | Professional | TC · Technical part | $93.33 | $120.23 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $489.78 Typical High $912.01 | Facility | None | $416.87 | $489.78 | $912.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $204.17 | $288.40 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $97.72 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $186.21 | $288.40 |
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 $151.36 Median $251.19 Typical High $512.86 | Professional | None (both parts) | $151.36 | $251.19 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $81.28 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $190.55 Typical High $416.87 | Professional | TC · Technical part | $100.00 | $190.55 | $416.87 |
Denver HMP Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $707.95 | Facility | None | $169.82 | $263.03 | $707.95 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $407.38 | Professional | None | $190.55 | $275.42 | $407.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $91.20 | $134.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $186.21 Typical High $269.15 | Professional | TC · Technical part | $128.82 | $186.21 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $338.84 Typical High $389.05 | Facility | None | $181.97 | $338.84 | $389.05 |
Select Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $138.04 | $181.97 | $354.81 |
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 $302.00 Typical High $467.74 | Professional | None (both parts) | $181.97 | $302.00 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $85.11 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $199.53 Typical High $354.81 | Professional | TC · Technical part | $117.49 | $199.53 | $354.81 |
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 $74.13 Median $91.20 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $36.31 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $36.31 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | FX · Film X-ray | $117.49 | $144.54 | $144.54 |
Where Colorado sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 22nd of 51
$269
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.