How much rates vary
Facilitymedian $468 · 10th to 90th $155 to $6,166Professionalmedian $245 · 10th to 90th $162 to $417
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 $162.18 Typical High $173.78 | Facility | None | $120.23 | $162.18 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $141.25 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $69.18 | Professional | 26 · Professional part | $52.48 | $60.26 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $89.13 | $112.20 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $512.86 Typical High $954.99 | Facility | None | $436.52 | $512.86 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $380.19 | Professional | None (both parts) | $186.21 | $263.03 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $93.33 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $120.23 | $169.82 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $2,041.74 Typical High $12,589.25 | Facility | None | $117.49 | $2,041.74 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $501.19 | Professional | None (both parts) | $134.90 | $234.42 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $72.44 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $154.88 Typical High $389.05 | Professional | TC · Technical part | $85.11 | $154.88 | $389.05 |
Denver HMP Setting Facility Modifier None Typical Low $173.78 Median $245.47 Typical High $645.65 | Facility | None | $173.78 | $245.47 | $645.65 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $288.40 Typical High $416.87 | Professional | None | $199.53 | $288.40 | $416.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $131.83 | Professional | 26 · Professional part | $66.07 | $93.33 | $131.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $281.84 | Professional | TC · Technical part | $134.90 | $194.98 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $398.11 | Facility | None | $190.55 | $354.81 | $398.11 |
Select Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $134.90 | $190.55 | $371.54 |
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 $181.97 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $181.97 | $269.15 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $85.11 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $186.21 Typical High $316.23 | Professional | TC · Technical part | $114.82 | $186.21 | $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 $70.79 Median $87.10 Typical High $97.72 | Professional | 52 · Reduced service | $70.79 | $87.10 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $34.67 Typical High $38.90 | Professional | 53 · Discontinued | $28.18 | $34.67 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $112.20 | $138.04 | $138.04 |
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· 20th of 51
$251
AK $468UT $123
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.