How much rates vary
Facilitymedian $437 · 10th to 90th $117 to $832Professionalmedian $603 · 10th to 90th $437 to $1,000
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $436.52 Typical High $549.54 | Facility | None | $120.23 | $436.52 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $436.52 Typical High $512.86 | Professional | None (both parts) | $346.74 | $436.52 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $38.02 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $398.11 Typical High $512.86 | Professional | TC · Technical part | $380.19 | $398.11 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $630.96 Typical High $1,000.00 | Professional | None (both parts) | $467.74 | $630.96 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $40.74 | $54.95 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $575.44 Typical High $912.01 | Professional | TC · Technical part | $426.58 | $575.44 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $125.89 | Facility | None | $117.49 | $123.03 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $398.11 | $501.19 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $48.98 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $446.68 Typical High $794.33 | Professional | TC · Technical part | $363.08 | $446.68 | $794.33 |
Denver HMP Setting Facility Modifier None Typical Low $389.05 Median $549.54 Typical High $794.33 | Facility | None | $389.05 | $549.54 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $616.60 Typical High $933.25 | Professional | None | $338.84 | $616.60 | $933.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $52.48 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $575.44 Typical High $851.14 | Professional | TC · Technical part | $309.03 | $575.44 | $851.14 |
Select Health Setting Facility Modifier None Typical Low $457.09 Median $831.76 Typical High $954.99 | Facility | None | $457.09 | $831.76 | $954.99 |
Select Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $316.23 | $316.23 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $758.58 Typical High $1,230.27 | Professional | None (both parts) | $478.63 | $758.58 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $56.23 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $707.95 Typical High $1,148.15 | Professional | TC · Technical part | $436.52 | $707.95 | $1,148.15 |
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 $199.53 Median $218.78 Typical High $251.19 | Professional | 52 · Reduced service | $199.53 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $87.10 Typical High $100.00 | Professional | 53 · Discontinued | $79.43 | $87.10 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $346.74 Median $346.74 Typical High $398.11 | Professional | FX · Film X-ray | $346.74 | $346.74 | $398.11 |
Where Colorado sits
The same service costs 16.6 times more in Wisconsin than in Oregon. 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
$603
WI $1,202OR $72.44
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.