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 $134.90 Typical High $162.18 | Facility | None | $120.23 | $134.90 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $158.49 | Professional | None (both parts) | $112.20 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $63.10 | Professional | 26 · Professional part | $48.98 | $54.95 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $79.43 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $346.74 Typical High $645.65 | Facility | None | $295.12 | $346.74 | $645.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $147.91 | $218.78 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $89.13 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $128.82 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $1,230.27 Typical High $2,511.89 | Facility | None | $117.49 | $1,230.27 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $229.09 Typical High $501.19 | Professional | None (both parts) | $114.82 | $229.09 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $47.86 | $69.18 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $138.04 Typical High $371.54 | Professional | TC · Technical part | $67.61 | $138.04 | $371.54 |
Denver HMP Setting Facility Modifier None Typical Low $134.90 Median $194.98 Typical High $691.83 | Facility | None | $134.90 | $194.98 | $691.83 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $288.40 | Professional | None | $138.04 | $199.53 | $288.40 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $79.43 | $112.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $169.82 | Professional | TC · Technical part | $81.28 | $117.49 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $239.88 Typical High $275.42 | Facility | None | $131.83 | $239.88 | $275.42 |
Select Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $102.33 | $134.90 | $257.04 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $2,884.03 Typical High $3,311.31 | Facility | None | $2,754.23 | $2,884.03 | $3,311.31 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $144.54 | $245.47 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $75.86 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $147.91 Typical High $331.13 | Professional | TC · Technical part | $85.11 | $147.91 | $331.13 |
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 $56.23 Median $67.61 Typical High $79.43 | Professional | 52 · Reduced service | $56.23 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $22.91 | $26.92 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $91.20 | $107.15 | $107.15 |
Where Colorado sits
The same service costs 4.9 times more in Alaska than in Texas. 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· 18th of 51
$219
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.