How much rates vary
Facilitymedian $219 · 10th to 90th $93 to $447Professionalmedian $120 · 10th to 90th $78 to $200
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 $85.11 Median $120.23 Typical High $162.18 | Facility | None | $85.11 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $85.11 Typical High $109.65 | Professional | None (both parts) | $74.13 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $26.30 | Professional | 26 · Professional part | $20.42 | $23.44 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $85.11 | Professional | TC · Technical part | $51.29 | $63.10 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $239.88 Typical High $446.68 | Facility | None | $204.17 | $239.88 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $95.50 | $138.04 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $37.15 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $70.79 | $102.33 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $426.58 | Facility | None | $107.15 | $165.96 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $69.18 | $107.15 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $19.50 | $29.51 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $77.62 Typical High $158.49 | Professional | TC · Technical part | $47.86 | $77.62 | $158.49 |
Denver HMP Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $181.97 | Facility | None | $81.28 | $109.65 | $181.97 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $194.98 | Professional | None | $93.33 | $134.90 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $25.12 | $35.48 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $100.00 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $165.96 Typical High $186.21 | Facility | None | $89.13 | $165.96 | $186.21 |
Select Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $66.07 | $89.13 | $173.78 |
United Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $549.54 | Facility | None | $457.09 | $478.63 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $75.86 | $120.23 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $21.88 | $31.62 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $91.20 Typical High $147.91 | Professional | TC · Technical part | $54.95 | $91.20 | $147.91 |
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 $36.31 Median $42.66 Typical High $46.77 | Professional | 52 · Reduced service | $36.31 | $42.66 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $17.38 Typical High $18.62 | Professional | 53 · Discontinued | $14.45 | $17.38 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $69.18 Typical High $69.18 | Professional | FX · Film X-ray | $57.54 | $69.18 | $69.18 |
Where Colorado sits
The same service costs 3.8 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· 13th of 51
$123
AK $245UT $64.57
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.