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 $144.54 Typical High $162.18 | Facility | None | $120.23 | $144.54 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $123.03 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $77.62 | Professional | 26 · Professional part | $58.88 | $67.61 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $93.33 | Professional | TC · Technical part | $63.10 | $77.62 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $371.54 Typical High $691.83 | Facility | None | $316.23 | $371.54 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $154.88 | $223.87 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $107.15 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $87.10 | $125.89 | $213.80 |
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 $123.03 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $123.03 | $213.80 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $56.23 | $85.11 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $131.83 Typical High $338.84 | Professional | TC · Technical part | $66.07 | $131.83 | $338.84 |
Denver HMP Setting Facility Modifier None Typical Low $144.54 Median $208.93 Typical High $602.56 | Facility | None | $144.54 | $208.93 | $602.56 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $309.03 | Professional | None | $147.91 | $213.80 | $309.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $97.72 | $134.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $169.82 | Professional | TC · Technical part | $81.28 | $114.82 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $263.03 Typical High $295.12 | Facility | None | $141.25 | $263.03 | $295.12 |
Select Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $109.65 | $144.54 | $275.42 |
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 $154.88 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $154.88 | $251.19 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $93.33 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $138.04 Typical High $316.23 | Professional | TC · Technical part | $83.18 | $138.04 | $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 $60.26 Median $72.44 Typical High $85.11 | Professional | 52 · Reduced service | $60.26 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.84 Typical High $33.88 | Professional | 53 · Discontinued | $24.55 | $28.84 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $114.82 Typical High $114.82 | Professional | FX · Film X-ray | $97.72 | $114.82 | $114.82 |
Where Colorado sits
The same service costs 4.5 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· 24th of 51
$214
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.