How much rates vary
Facilitymedian $3,467 · 10th to 90th $120 to $12,589Professionalmedian $3,715 · 10th to 90th $269 to $6,310
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $3,467.37 | Facility | None | $120.23 | $162.18 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $776.25 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $45.71 | Professional | 26 · Professional part | $34.67 | $39.81 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $3,467.37 Typical High $3,467.37 | Professional | TC · Technical part | $1,621.81 | $3,467.37 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $4,786.30 Typical High $7,413.10 | Professional | None (both parts) | $3,235.94 | $4,786.30 | $7,413.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $63.10 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3,162.28 Median $4,677.35 Typical High $7,244.36 | Professional | TC · Technical part | $3,162.28 | $4,677.35 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $912.01 Typical High $12,589.25 | Facility | None | $117.49 | $912.01 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $223.87 | $309.03 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $91.20 | Professional | 26 · Professional part | $33.88 | $50.12 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $512.86 | Professional | TC · Technical part | $190.55 | $263.03 | $512.86 |
Denver HMP Setting Facility Modifier None Typical Low $354.81 Median $3,467.37 Typical High $5,011.87 | Facility | None | $354.81 | $3,467.37 | $5,011.87 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,467.37 Median $5,128.61 Typical High $7,244.36 | Professional | None | $3,467.37 | $5,128.61 | $7,244.36 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $57.54 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $3,467.37 Median $5,128.61 Typical High $7,244.36 | Professional | TC · Technical part | $3,467.37 | $5,128.61 | $7,244.36 |
Select Health Setting Facility Modifier None Typical Low $3,467.37 Median $6,456.54 Typical High $7,244.36 | Facility | None | $3,467.37 | $6,456.54 | $7,244.36 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $3,467.37 Typical High $6,760.83 | Professional | None (both parts) | $125.89 | $3,467.37 | $6,760.83 |
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 $275.42 Median $1,862.09 Typical High $5,370.32 | Professional | None (both parts) | $275.42 | $1,862.09 | $5,370.32 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $38.90 | $54.95 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $1,819.70 Typical High $5,370.32 | Professional | TC · Technical part | $234.42 | $1,819.70 | $5,370.32 |
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 $912.01 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $912.01 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $371.54 | $691.83 | $691.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,905.46 Median $2,818.38 Typical High $2,818.38 | Professional | FX · Film X-ray | $1,905.46 | $2,818.38 | $2,818.38 |
Where Colorado sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 1st of 51
$3,715
CO $3,715NJ $245
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.