How much rates vary
Facilitymedian $32 · 10th to 90th $15 to $120Professionalmedian $16 · 10th to 90th $10 to $27
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 $11.75 Median $120.23 Typical High $162.18 | Facility | None | $11.75 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.72 Median $11.75 Typical High $16.98 | Professional | None (both parts) | $10.72 | $11.75 | $16.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $11.22 | Professional | 26 · Professional part | $7.08 | $7.94 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.89 Typical High $5.75 | Professional | TC · Technical part | $3.31 | $3.89 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $60.26 | Facility | None | $26.92 | $32.36 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.33 Median $17.38 Typical High $26.92 | Professional | None (both parts) | $9.33 | $17.38 | $26.92 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.59 Typical High $17.78 | Professional | 26 · Professional part | $8.91 | $12.59 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $5.75 Typical High $8.51 | Professional | TC · Technical part | $4.07 | $5.75 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $77.62 Typical High $125.89 | Facility | None | $24.55 | $77.62 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.47 Median $14.45 Typical High $29.51 | Professional | None (both parts) | $10.47 | $14.45 | $29.51 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.00 Typical High $19.05 | Professional | 26 · Professional part | $7.08 | $10.00 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $4.90 Typical High $10.00 | Professional | TC · Technical part | $3.24 | $4.90 | $10.00 |
Denver HMP Setting Facility Modifier None Typical Low $11.75 Median $15.14 Typical High $25.12 | Facility | None | $11.75 | $15.14 | $25.12 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None (both parts) | $22.39 | $22.39 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $23.99 | Professional | None | $12.88 | $16.98 | $23.99 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.96 Typical High $15.49 | Professional | 26 · Professional part | $8.32 | $10.96 | $15.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $5.89 Typical High $8.13 | Professional | TC · Technical part | $4.47 | $5.89 | $8.13 |
Select Health Setting Facility Modifier None Typical Low $12.02 Median $22.39 Typical High $25.12 | Facility | None | $12.02 | $22.39 | $25.12 |
Select Health Setting Professional Modifier None (both parts) Typical Low $9.55 Median $12.02 Typical High $22.39 | Professional | None (both parts) | $9.55 | $12.02 | $22.39 |
United Setting Facility Modifier None Typical Low $125.89 Median $131.83 Typical High $151.36 | Facility | None | $125.89 | $131.83 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $15.85 Typical High $26.30 | Professional | None (both parts) | $12.30 | $15.85 | $26.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.96 Typical High $18.20 | Professional | 26 · Professional part | $8.32 | $10.96 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $5.37 Typical High $8.71 | Professional | TC · Technical part | $3.63 | $5.37 | $8.71 |
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 $5.01 Median $5.89 Typical High $6.61 | Professional | 52 · Reduced service | $5.01 | $5.89 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.34 Typical High $2.63 | Professional | 53 · Discontinued | $2.00 | $2.34 | $2.63 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $8.13 Median $9.33 Typical High $9.33 | Professional | FX · Film X-ray | $8.13 | $9.33 | $9.33 |
Where Colorado sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 16th of 51
$16.22
AK $35.48FL $9.12
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.