How much rates vary
Facilitymedian $309 · 10th to 90th $126 to $6,310Professionalmedian $191 · 10th to 90th $123 to $347
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 $125.89 Typical High $162.18 | Facility | None | $120.23 | $125.89 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $112.20 | $125.89 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $45.71 | $52.48 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $173.78 | Professional | TC · Technical part | $67.61 | $74.13 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $616.60 | Facility | None | $281.84 | $331.13 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $309.03 | Professional | None (both parts) | $138.04 | $199.53 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $83.18 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $117.49 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $5,248.07 Typical High $12,589.25 | Facility | None | $117.49 | $5,248.07 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $199.53 Typical High $478.63 | Professional | None (both parts) | $107.15 | $199.53 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $45.71 | $66.07 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $125.89 Typical High $323.59 | Professional | TC · Technical part | $63.10 | $125.89 | $323.59 |
Denver HMP Setting Facility Modifier None Typical Low $125.89 Median $181.97 Typical High $676.08 | Facility | None | $125.89 | $181.97 | $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 $52.48 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $75.86 | $109.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $109.65 | $162.18 |
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 $95.50 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $95.50 | $125.89 | $239.88 |
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 $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 $114.82 | Professional | 26 · Professional part | $53.70 | $74.13 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $131.83 Typical High $316.23 | Professional | TC · Technical part | $77.62 | $131.83 | $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 $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $52.48 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $25.12 Typical High $29.51 | Professional | 53 · Discontinued | $20.89 | $25.12 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $83.18 | $100.00 | $100.00 |
Where Colorado sits
The same service costs 4.9 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· 20th of 51
$200
AK $372UT $75.86
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.