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 $123.03 Median $602.56 Typical High $1,023.29 | Facility | None | $123.03 | $602.56 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $275.42 | Professional | None (both parts) | $123.03 | $123.03 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $56.23 | $60.26 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $112.20 | Professional | TC · Technical part | $64.57 | $64.57 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $309.03 Typical High $575.44 | Facility | None | $263.03 | $309.03 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $112.20 | $186.21 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $91.20 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $91.20 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $67.61 | $100.00 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $194.98 | Facility | None | $117.49 | $125.89 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $104.71 | $120.23 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $53.70 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $125.89 | Professional | TC · Technical part | $54.95 | $66.07 | $125.89 |
Denver HMP Setting Facility Modifier None Typical Low $123.03 Median $177.83 Typical High $295.12 | Facility | None | $123.03 | $177.83 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $245.47 | Professional | None | $117.49 | $162.18 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $77.62 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $87.10 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $213.80 Typical High $245.47 | Facility | None | $117.49 | $213.80 | $245.47 |
Select Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $81.28 | $117.49 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $131.83 | $165.96 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $57.54 | $75.86 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $67.61 | $91.20 | $138.04 |
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 $61.66 Median $61.66 Typical High $74.13 | Professional | 52 · Reduced service | $61.66 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | 53 · Discontinued | $24.55 | $24.55 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | FX · Film X-ray | $100.00 | $100.00 | $112.20 |
Where Colorado sits
The same service costs 5.6 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· 15th of 51
$170
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.