How much rates vary
Facilitymedian $3,467 · 10th to 90th $120 to $12,589Professionalmedian $3,890 · 10th to 90th $288 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 $1,737.80 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $1,737.80 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $46.77 | $53.70 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,041.74 Median $3,467.37 Typical High $3,467.37 | Professional | TC · Technical part | $2,041.74 | $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 $60.26 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $85.11 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3,162.28 Median $4,786.30 Typical High $7,244.36 | Professional | TC · Technical part | $3,162.28 | $4,786.30 | $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 $229.09 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $229.09 | $331.13 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $46.77 | $69.18 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $269.15 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $269.15 | $524.81 |
Denver HMP Setting Facility Modifier None Typical Low $416.87 Median $3,467.37 Typical High $5,011.87 | Facility | None | $416.87 | $3,467.37 | $5,011.87 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
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 $53.70 Median $77.62 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $77.62 | $114.82 |
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 $2,691.53 Median $3,467.37 Typical High $6,760.83 | Professional | None (both parts) | $2,691.53 | $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 $288.40 Median $3,388.44 Typical High $6,165.95 | Professional | None (both parts) | $288.40 | $3,388.44 | $6,165.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $75.86 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $3,388.44 Typical High $6,165.95 | Professional | TC · Technical part | $239.88 | $3,388.44 | $6,165.95 |
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 $1,148.15 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,148.15 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $457.09 | $691.83 | $691.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,949.84 Median $2,818.38 Typical High $2,818.38 | Professional | FX · Film X-ray | $1,949.84 | $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
$3,890
CO $3,890NJ $257
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.