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 $134.90 Typical High $162.18 | Facility | None | $120.23 | $134.90 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $114.82 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $70.79 | Professional | 26 · Professional part | $53.70 | $60.26 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $97.72 | Professional | TC · Technical part | $61.66 | $74.13 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $354.81 Typical High $660.69 | Facility | None | $302.00 | $354.81 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $154.88 | $218.78 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $97.72 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $85.11 | $123.03 | $204.17 |
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 $117.49 Median $204.17 Typical High $489.78 | Professional | None (both parts) | $117.49 | $204.17 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $52.48 | $77.62 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $128.82 Typical High $323.59 | Professional | TC · Technical part | $64.57 | $128.82 | $323.59 |
Denver HMP Setting Facility Modifier None Typical Low $134.90 Median $194.98 Typical High $676.08 | Facility | None | $134.90 | $194.98 | $676.08 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $295.12 | Professional | None | $138.04 | $199.53 | $295.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $61.66 | $89.13 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $112.20 Typical High $162.18 | Professional | TC · Technical part | $77.62 | $112.20 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $245.47 Typical High $281.84 | Facility | None | $131.83 | $245.47 | $281.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $102.33 | $134.90 | $257.04 |
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 $147.91 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $147.91 | $239.88 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $85.11 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $134.90 Typical High $316.23 | Professional | TC · Technical part | $81.28 | $134.90 | $316.23 |
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 $57.54 Median $67.61 Typical High $81.28 | Professional | 52 · Reduced service | $57.54 | $67.61 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.92 Typical High $32.36 | Professional | 53 · Discontinued | $22.91 | $26.92 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $91.20 | $109.65 | $109.65 |
Where Colorado sits
The same service costs 5.4 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· 22nd of 51
$204
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.