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 $100.00 Median $125.89 Typical High $165.96 | Facility | None | $100.00 | $125.89 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $85.11 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $41.69 | Professional | 26 · Professional part | $31.62 | $38.02 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $83.18 | Professional | TC · Technical part | $52.48 | $61.66 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $489.78 | Facility | None | $218.78 | $263.03 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $104.71 | $144.54 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $54.95 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $125.89 | Professional | TC · Technical part | $67.61 | $91.20 | $125.89 |
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 $89.13 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $89.13 | $97.72 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $32.36 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $114.82 | Professional | TC · Technical part | $54.95 | $64.57 | $114.82 |
Denver HMP Setting Facility Modifier None Typical Low $97.72 Median $141.25 Typical High $204.17 | Facility | None | $97.72 | $141.25 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $213.80 | Professional | None | $112.20 | $138.04 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $42.66 | $52.48 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $69.18 | $85.11 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $97.72 Median $181.97 Typical High $204.17 | Facility | None | $97.72 | $181.97 | $204.17 |
Select Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $81.28 | $97.72 | $181.97 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $30.90 | $37.15 | $69.18 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $60.26 Typical High $112.20 | Professional | TC · Technical part | $48.98 | $60.26 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $100.00 | $114.82 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $40.74 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $123.03 | Professional | TC · Technical part | $63.10 | $79.43 | $123.03 |
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 $41.69 Median $50.12 Typical High $53.70 | Professional | 52 · Reduced service | $41.69 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $16.60 | $19.95 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $70.79 | $79.43 | $79.43 |
Where Colorado sits
The same service costs 4.5 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· 19th of 51
$129
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.