How much rates vary
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 $107.15 Median $120.23 Typical High $162.18 | Facility | None | $107.15 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $36.31 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $15.14 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $69.18 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $85.11 | $117.49 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $58.88 | Professional | 26 · Professional part | $29.51 | $40.74 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $75.86 Typical High $109.65 | Professional | TC · Technical part | $56.23 | $75.86 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $173.78 Typical High $354.81 | Facility | None | $89.13 | $173.78 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $56.23 | $104.71 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $36.31 Typical High $81.28 | Professional | 26 · Professional part | $19.95 | $36.31 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $67.61 Typical High $141.25 | Professional | TC · Technical part | $37.15 | $67.61 | $141.25 |
Denver HMP Setting Facility Modifier None Typical Low $95.50 Median $107.15 Typical High $269.15 | Facility | None | $95.50 | $107.15 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $141.25 Typical High $208.93 | Professional | TC · Technical part | $95.50 | $141.25 | $208.93 |
Select Health Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $173.78 Typical High $199.53 | Facility | TC · Technical part | $95.50 | $173.78 | $199.53 |
Select Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $380.19 Median $398.11 Typical High $457.09 | Facility | None | $380.19 | $398.11 | $457.09 |
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 $24.55 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $24.55 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $9.77 | $21.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $44.67 | $85.11 | $85.11 |
Where Colorado sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 22nd of 51
$107
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.