How much rates vary
Facilitymedian $148 · 10th to 90th $74 to $295Professionalmedian $89 · 10th to 90th $59 to $148
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 $58.88 Median $93.33 Typical High $162.18 | Facility | None | $58.88 | $93.33 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $58.88 Typical High $102.33 | Professional | None (both parts) | $52.48 | $58.88 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $36.31 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $51.29 | Professional | TC · Technical part | $19.50 | $22.91 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $158.49 Typical High $295.12 | Facility | None | $134.90 | $158.49 | $295.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $93.33 Typical High $138.04 | Professional | None (both parts) | $64.57 | $93.33 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $57.54 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $53.70 | Professional | TC · Technical part | $26.30 | $36.31 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $208.93 Typical High $426.58 | Facility | None | $107.15 | $208.93 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $53.70 | $93.33 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $32.36 | $51.29 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $39.81 Typical High $89.13 | Professional | TC · Technical part | $20.89 | $39.81 | $89.13 |
Denver HMP Setting Facility Modifier None Typical Low $58.88 Median $85.11 Typical High $173.78 | Facility | None | $58.88 | $85.11 | $173.78 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $120.23 | Professional | None | $64.57 | $85.11 | $120.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $51.29 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $46.77 | Professional | TC · Technical part | $25.12 | $33.11 | $46.77 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $109.65 Typical High $125.89 | Facility | None | $60.26 | $109.65 | $125.89 |
Select Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $47.86 | $60.26 | $109.65 |
United Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $549.54 | Facility | None | $457.09 | $478.63 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $63.10 | $100.00 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $37.15 | $52.48 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $43.65 Typical High $74.13 | Professional | TC · Technical part | $26.30 | $43.65 | $74.13 |
4 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 $29.51 Typical High $35.48 | Professional | 52 · Reduced service | $24.55 | $29.51 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $11.75 Typical High $14.13 | Professional | 53 · Discontinued | $10.00 | $11.75 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $47.86 Typical High $52.48 | Professional | FX · Film X-ray | $39.81 | $47.86 | $52.48 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $77.62 Median $102.33 Typical High $158.49 | Professional | 50 · Both sides | $77.62 | $102.33 | $158.49 |
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· 21st of 51
$91.20
AK $178TX $46.77
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.