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 $123.03 Median $162.18 Typical High $199.53 | Facility | None | $123.03 | $162.18 | $199.53 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $128.82 Typical High $380.19 | Facility | TC · Technical part | $83.18 | $128.82 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $199.53 | Professional | None (both parts) | $112.20 | $123.03 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $38.90 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $83.18 Typical High $138.04 | Professional | TC · Technical part | $77.62 | $83.18 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $316.23 Typical High $588.84 | Facility | None | $269.15 | $316.23 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $134.90 | $190.55 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $60.26 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $128.82 Typical High $190.55 | Professional | TC · Technical part | $93.33 | $128.82 | $190.55 |
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 $109.65 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $109.65 | $138.04 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $93.33 | Professional | 26 · Professional part | $34.67 | $43.65 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $194.98 | Professional | TC · Technical part | $74.13 | $93.33 | $194.98 |
Denver HMP Setting Facility Modifier None Typical Low $114.82 Median $154.88 Typical High $208.93 | Facility | None | $114.82 | $154.88 | $208.93 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $46.77 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $46.77 | $100.00 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $234.42 | Professional | None | $128.82 | $169.82 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $53.70 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $158.49 | Professional | TC · Technical part | $87.10 | $114.82 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $218.78 Typical High $251.19 | Facility | None | $120.23 | $218.78 | $251.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $97.72 | $120.23 | $218.78 |
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 $125.89 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $125.89 | $158.49 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $52.48 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $169.82 | Professional | TC · Technical part | $83.18 | $109.65 | $169.82 |
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 $51.29 Median $61.66 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $24.55 Typical High $26.30 | Professional | 53 · Discontinued | $20.89 | $24.55 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $83.18 | $97.72 | $97.72 |
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· 12th of 51
$170
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.