How much rates vary
Facilitymedian $195 · 10th to 90th $100 to $398Professionalmedian $112 · 10th to 90th $74 to $182
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 $79.43 Median $120.23 Typical High $162.18 | Facility | None | $79.43 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $69.18 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $38.02 | Professional | 26 · Professional part | $28.18 | $33.11 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $61.66 | Professional | TC · Technical part | $38.90 | $45.71 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $213.80 Typical High $398.11 | Facility | None | $181.97 | $213.80 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $79.43 | $120.23 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $48.98 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $72.44 Typical High $102.33 | Professional | TC · Technical part | $51.29 | $72.44 | $102.33 |
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 $70.79 Median $100.00 Typical High $213.80 | Professional | None (both parts) | $70.79 | $100.00 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $81.28 | Professional | 26 · Professional part | $28.84 | $38.02 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $60.26 Typical High $131.83 | Professional | TC · Technical part | $41.69 | $60.26 | $131.83 |
Denver HMP Setting Facility Modifier None Typical Low $79.43 Median $112.20 Typical High $165.96 | Facility | None | $79.43 | $112.20 | $165.96 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $158.49 | Professional | None | $85.11 | $112.20 | $158.49 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $46.77 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $93.33 | Professional | TC · Technical part | $50.12 | $66.07 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $79.43 Median $147.91 Typical High $169.82 | Facility | None | $79.43 | $147.91 | $169.82 |
Select Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $79.43 Typical High $147.91 | Professional | None (both parts) | $63.10 | $79.43 | $147.91 |
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 $83.18 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $83.18 | $120.23 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $45.71 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $50.12 | $77.62 | $125.89 |
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 $33.11 Median $38.90 Typical High $43.65 | Professional | 52 · Reduced service | $33.11 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.85 Typical High $17.78 | Professional | 53 · Discontinued | $13.18 | $15.85 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $63.10 Typical High $63.10 | Professional | FX · Film X-ray | $52.48 | $63.10 | $63.10 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $102.33 Median $131.83 Typical High $165.96 | Professional | 50 · Both sides | $102.33 | $131.83 | $165.96 |
Where Colorado sits
The same service costs 3.7 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· 17th of 51
$112
AK $229TX $61.66
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.