How much rates vary
Facilitymedian $245 · 10th to 90th $115 to $525Professionalmedian $158 · 10th to 90th $107 to $240
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 $114.82 Median $151.36 Typical High $190.55 | Facility | None | $114.82 | $151.36 | $190.55 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $45.71 | Facility | 26 · Professional part | $27.54 | $35.48 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $199.53 | Facility | TC · Technical part | $89.13 | $123.03 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $102.33 | $114.82 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $45.71 | Professional | 26 · Professional part | $24.55 | $27.54 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $77.62 | $89.13 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $562.34 | Facility | None | $257.04 | $302.00 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $128.82 | $181.97 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $42.66 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $100.00 | $138.04 | $199.53 |
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 $97.72 Median $120.23 Typical High $257.04 | Professional | None (both parts) | $97.72 | $120.23 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $64.57 | Professional | 26 · Professional part | $23.99 | $30.20 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $199.53 | Professional | TC · Technical part | $72.44 | $89.13 | $199.53 |
Denver HMP Setting Facility Modifier None Typical Low $109.65 Median $141.25 Typical High $177.83 | Facility | None | $109.65 | $141.25 | $177.83 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $223.87 | Professional | None | $123.03 | $162.18 | $223.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $52.48 | Professional | 26 · Professional part | $28.84 | $38.02 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $123.03 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $208.93 Typical High $239.88 | Facility | None | $114.82 | $208.93 | $239.88 |
Select Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $93.33 | $114.82 | $208.93 |
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 $109.65 Median $147.91 Typical High $234.42 | Professional | None (both parts) | $109.65 | $147.91 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $36.31 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $177.83 | Professional | TC · Technical part | $81.28 | $114.82 | $177.83 |
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 $47.86 Median $57.54 Typical High $61.66 | Professional | 52 · Reduced service | $47.86 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $23.44 Typical High $25.12 | Professional | 53 · Discontinued | $19.05 | $23.44 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $75.86 | $93.33 | $93.33 |
Where Colorado sits
The same service costs 4.1 times more in Minnesota 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· 14th of 51
$158
MN $363FL $89.13
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.