How much rates vary
Facilitymedian $191 · 10th to 90th $105 to $427Professionalmedian $117 · 10th to 90th $79 to $186
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 $85.11 Median $120.23 Typical High $162.18 | Facility | None | $85.11 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $147.91 | Professional | None (both parts) | $77.62 | $85.11 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $31.62 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $93.33 | Professional | TC · Technical part | $50.12 | $54.95 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $426.58 | Facility | None | $190.55 | $229.09 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $131.83 Typical High $194.98 | Professional | None (both parts) | $87.10 | $131.83 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $48.98 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $58.88 | $83.18 | $123.03 |
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 $75.86 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $75.86 | $97.72 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $75.86 | Professional | 26 · Professional part | $27.54 | $35.48 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $125.89 | Professional | TC · Technical part | $47.86 | $60.26 | $125.89 |
Denver HMP Setting Facility Modifier None Typical Low $79.43 Median $112.20 Typical High $138.04 | Facility | None | $79.43 | $112.20 | $138.04 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $169.82 | Professional | None | $91.20 | $120.23 | $169.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $43.65 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $75.86 Typical High $107.15 | Professional | TC · Technical part | $57.54 | $75.86 | $107.15 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $158.49 Typical High $177.83 | Facility | None | $85.11 | $158.49 | $177.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $158.49 | Professional | None (both parts) | $69.18 | $85.11 | $158.49 |
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 $85.11 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $85.11 | $112.20 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $42.66 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $107.15 | Professional | TC · Technical part | $52.48 | $67.61 | $107.15 |
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 $36.31 Median $42.66 Typical High $46.77 | Professional | 52 · Reduced service | $36.31 | $42.66 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.98 Typical High $18.62 | Professional | 53 · Discontinued | $14.45 | $16.98 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | FX · Film X-ray | $57.54 | $67.61 | $67.61 |
Where Colorado sits
The same service costs 3.6 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· 14th of 51
$117
AK $245TX $67.61
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.