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 $169.82 | Facility | None | $120.23 | $162.18 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $138.04 | $169.82 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $63.10 | Professional | 26 · Professional part | $48.98 | $56.23 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $204.17 | Professional | TC · Technical part | $89.13 | $114.82 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $467.74 Typical High $870.96 | Facility | None | $398.11 | $467.74 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $194.98 | $269.15 | $416.87 |
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 $131.83 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $131.83 | $181.97 | $281.84 |
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 $144.54 Median $234.42 Typical High $501.19 | Professional | None (both parts) | $144.54 | $234.42 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $48.98 | $70.79 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $165.96 Typical High $407.38 | Professional | TC · Technical part | $97.72 | $165.96 | $407.38 |
Denver HMP Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $691.83 | Facility | None | $162.18 | $245.47 | $691.83 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $380.19 | Professional | None | $181.97 | $263.03 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $83.18 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $263.03 | Professional | TC · Technical part | $125.89 | $181.97 | $263.03 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $323.59 Typical High $363.08 | Facility | None | $173.78 | $323.59 | $363.08 |
Select Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $131.83 | $173.78 | $338.84 |
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 $165.96 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $165.96 | $275.42 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $75.86 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $112.20 | $186.21 | $338.84 |
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 $69.18 Median $85.11 Typical High $93.33 | Professional | 52 · Reduced service | $69.18 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.88 Typical High $38.02 | Professional | 53 · Discontinued | $27.54 | $33.88 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $109.65 | $138.04 | $138.04 |
Where Colorado sits
The same service costs 4.0 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· 18th of 51
$251
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.