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 $141.25 Typical High $162.18 | Facility | None | $120.23 | $141.25 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $117.49 | $141.25 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $61.66 | Professional | 26 · Professional part | $46.77 | $53.70 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $89.13 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $371.54 Typical High $691.83 | Facility | None | $316.23 | $371.54 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $154.88 | $223.87 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $61.66 | $85.11 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $239.88 | Professional | TC · Technical part | $100.00 | $141.25 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $2,041.74 Typical High $12,589.25 | Facility | None | $117.49 | $2,041.74 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $208.93 Typical High $489.78 | Professional | None (both parts) | $120.23 | $208.93 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $123.03 | Professional | 26 · Professional part | $45.71 | $67.61 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $144.54 Typical High $380.19 | Professional | TC · Technical part | $74.13 | $144.54 | $380.19 |
Denver HMP Setting Facility Modifier None Typical Low $141.25 Median $204.17 Typical High $676.08 | Facility | None | $141.25 | $204.17 | $676.08 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $309.03 | Professional | None | $147.91 | $213.80 | $309.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $77.62 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $93.33 | $131.83 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $257.04 Typical High $295.12 | Facility | None | $141.25 | $257.04 | $295.12 |
Select Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $109.65 | $141.25 | $275.42 |
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 $389.05 | Professional | None (both parts) | $147.91 | $239.88 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $74.13 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $154.88 Typical High $323.59 | Professional | TC · Technical part | $93.33 | $154.88 | $323.59 |
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 $58.88 Median $70.79 Typical High $81.28 | Professional | 52 · Reduced service | $58.88 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $28.18 Typical High $32.36 | Professional | 53 · Discontinued | $23.44 | $28.18 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $114.82 Typical High $114.82 | Professional | FX · Film X-ray | $93.33 | $114.82 | $114.82 |
Where Colorado sits
The same service costs 4.3 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
$209
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.