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 $63.10 Median $97.72 Typical High $162.18 | Facility | None | $63.10 | $97.72 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $53.70 | $63.10 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $22.39 | $25.12 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.02 Typical High $61.66 | Professional | TC · Technical part | $30.90 | $38.02 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $162.18 Typical High $302.00 | Facility | None | $138.04 | $162.18 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $87.10 Typical High $141.25 | Professional | None (both parts) | $44.67 | $87.10 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $79.43 | Professional | 26 · Professional part | $28.84 | $40.74 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $61.66 Typical High $91.20 | Professional | TC · Technical part | $42.66 | $61.66 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $602.56 Typical High $2,187.76 | Facility | None | $117.49 | $602.56 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $74.13 Typical High $128.82 | Professional | None (both parts) | $51.29 | $74.13 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $21.38 | $32.36 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $41.69 Typical High $74.13 | Professional | TC · Technical part | $28.84 | $41.69 | $74.13 |
Denver HMP Setting Facility Modifier None Typical Low $56.23 Median $81.28 Typical High $95.50 | Facility | None | $56.23 | $81.28 | $95.50 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $134.90 | Professional | None | $64.57 | $93.33 | $134.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $36.31 | $53.70 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $56.23 | $81.28 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $112.20 Typical High $128.82 | Facility | None | $61.66 | $112.20 | $128.82 |
Select Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $63.10 Typical High $120.23 | Professional | None (both parts) | $47.86 | $63.10 | $120.23 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,884.03 | Facility | None | $2,398.83 | $2,511.89 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $81.28 Typical High $123.03 | Professional | None (both parts) | $58.88 | $81.28 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $34.67 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $46.77 Typical High $70.79 | Professional | TC · Technical part | $32.36 | $46.77 | $70.79 |
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 $26.92 Median $31.62 Typical High $33.88 | Professional | 52 · Reduced service | $26.92 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.59 Typical High $13.80 | Professional | 53 · Discontinued | $10.72 | $12.59 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $50.12 Typical High $50.12 | Professional | FX · Film X-ray | $42.66 | $50.12 | $50.12 |
Where Colorado sits
The same service costs 3.8 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· 14th of 51
$85.11
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.