How much rates vary
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 $61.66 Median $100.00 Typical High $162.18 | Facility | None | $61.66 | $100.00 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $54.95 Typical High $151.36 | Facility | TC · Technical part | $33.11 | $54.95 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $61.66 Typical High $109.65 | Professional | None (both parts) | $54.95 | $61.66 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $45.71 | Professional | 26 · Professional part | $23.44 | $27.54 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $69.18 | Professional | TC · Technical part | $28.84 | $33.11 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $316.23 | Facility | None | $144.54 | $169.82 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $89.13 Typical High $138.04 | Professional | None (both parts) | $58.88 | $89.13 | $138.04 |
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 $36.31 Median $50.12 Typical High $72.44 | Professional | TC · Technical part | $36.31 | $50.12 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $151.36 Typical High $426.58 | Facility | None | $107.15 | $151.36 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $85.11 Typical High $186.21 | Professional | None (both parts) | $54.95 | $85.11 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $63.10 | Professional | 26 · Professional part | $23.99 | $30.20 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $53.70 Typical High $117.49 | Professional | TC · Technical part | $30.20 | $53.70 | $117.49 |
Denver HMP Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $131.83 | Facility | None | $61.66 | $87.10 | $131.83 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $125.89 | Professional | None | $67.61 | $89.13 | $125.89 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $39.81 | $54.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $50.12 Typical High $69.18 | Professional | TC · Technical part | $38.02 | $50.12 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $63.10 Median $117.49 Typical High $134.90 | Facility | None | $63.10 | $117.49 | $134.90 |
Select Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $63.10 Typical High $117.49 | Professional | None (both parts) | $48.98 | $63.10 | $117.49 |
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 $81.28 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $81.28 | $100.00 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $37.15 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $64.57 Typical High $109.65 | Professional | TC · Technical part | $48.98 | $64.57 | $109.65 |
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 $25.70 Median $30.20 Typical High $36.31 | Professional | 52 · Reduced service | $25.70 | $30.20 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.30 Typical High $14.45 | Professional | 53 · Discontinued | $10.23 | $12.30 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $48.98 Typical High $53.70 | Professional | FX · Film X-ray | $42.66 | $48.98 | $53.70 |
Where Colorado sits
The same service costs 4.1 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· 20th of 51
$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.