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 $151.36 Typical High $162.18 | Facility | None | $120.23 | $151.36 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $134.90 | $151.36 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $48.98 | $52.48 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $100.00 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $398.11 Typical High $741.31 | Facility | None | $338.84 | $398.11 | $741.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $165.96 | $239.88 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $83.18 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $154.88 Typical High $263.03 | Professional | TC · Technical part | $109.65 | $154.88 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $5,495.41 Typical High $21,877.62 | Facility | None | $117.49 | $5,495.41 | $21,877.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $213.80 Typical High $489.78 | Professional | None (both parts) | $128.82 | $213.80 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $44.67 | $67.61 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $162.18 Typical High $398.11 | Professional | TC · Technical part | $81.28 | $162.18 | $398.11 |
Denver HMP Setting Facility Modifier None Typical Low $147.91 Median $218.78 Typical High $676.08 | Facility | None | $147.91 | $218.78 | $676.08 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $331.13 | Professional | None | $158.49 | $223.87 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $75.86 | $112.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $147.91 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $147.91 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $275.42 Typical High $316.23 | Facility | None | $147.91 | $275.42 | $316.23 |
Select Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $114.82 | $151.36 | $288.40 |
United Setting Facility Modifier None Typical Low $23,988.33 Median $25,703.96 Typical High $28,840.32 | Facility | None | $23,988.33 | $25,703.96 | $28,840.32 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $154.88 | $257.04 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $74.13 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $169.82 Typical High $331.13 | Professional | TC · Technical part | $102.33 | $169.82 | $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 $61.66 Median $75.86 Typical High $85.11 | Professional | 52 · Reduced service | $61.66 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.20 Typical High $33.88 | Professional | 53 · Discontinued | $24.55 | $30.20 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $100.00 | $123.03 | $123.03 |
Where Colorado sits
The same service costs 4.2 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· 21st of 51
$229
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.