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 $123.03 Typical High $173.78 | Facility | None | $120.23 | $123.03 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $112.20 | $123.03 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $47.86 | $53.70 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $173.78 | Professional | TC · Technical part | $64.57 | $69.18 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $331.13 Typical High $616.60 | Facility | None | $275.42 | $331.13 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $125.89 | $194.98 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $60.26 | $81.28 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $77.62 | $114.82 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $1,698.24 Typical High $6,309.57 | Facility | None | $117.49 | $1,698.24 | $6,309.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $194.98 Typical High $457.09 | Professional | None (both parts) | $104.71 | $194.98 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $123.03 | Professional | 26 · Professional part | $46.77 | $67.61 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $120.23 Typical High $323.59 | Professional | TC · Technical part | $58.88 | $120.23 | $323.59 |
Denver HMP Setting Facility Modifier None Typical Low $123.03 Median $177.83 Typical High $676.08 | Facility | None | $123.03 | $177.83 | $676.08 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $269.15 | Professional | None | $128.82 | $186.21 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $79.43 | $112.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $154.88 | Professional | TC · Technical part | $74.13 | $107.15 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $229.09 Typical High $257.04 | Facility | None | $123.03 | $229.09 | $257.04 |
Select Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $93.33 | $123.03 | $239.88 |
United Setting Facility Modifier None Typical Low $6,918.31 Median $7,244.36 Typical High $8,317.64 | Facility | None | $6,918.31 | $7,244.36 | $8,317.64 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $134.90 | $218.78 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $74.13 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $128.82 Typical High $316.23 | Professional | TC · Technical part | $75.86 | $128.82 | $316.23 |
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 $52.48 Median $61.66 Typical High $74.13 | Professional | 52 · Reduced service | $52.48 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $24.55 Typical High $29.51 | Professional | 53 · Discontinued | $20.89 | $24.55 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $85.11 | $97.72 | $97.72 |
Where Colorado sits
The same service costs 4.8 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· 21st of 51
$195
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.