How much rates vary
Facilitymedian $288 · 10th to 90th $126 to $575Professionalmedian $166 · 10th to 90th $110 to $257
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 $120.23 Median $158.49 Typical High $208.93 | Facility | None | $120.23 | $158.49 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $109.65 | $125.89 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $83.18 | Professional | 26 · Professional part | $45.71 | $51.29 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $74.13 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $338.84 Typical High $630.96 | Facility | None | $288.40 | $338.84 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $128.82 | $186.21 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $81.28 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $77.62 | $107.15 | $158.49 |
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 $104.71 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $104.71 | $134.90 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $58.88 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $162.18 | Professional | TC · Technical part | $57.54 | $74.13 | $162.18 |
Denver HMP Setting Facility Modifier None Typical Low $114.82 Median $158.49 Typical High $190.55 | Facility | None | $114.82 | $158.49 | $190.55 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $251.19 | Professional | None | $134.90 | $177.83 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $72.44 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $81.28 | $107.15 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $234.42 Typical High $269.15 | Facility | None | $125.89 | $234.42 | $269.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $102.33 | $125.89 | $234.42 |
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 $120.23 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $120.23 | $154.88 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $67.61 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $66.07 | $87.10 | $141.25 |
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 $50.12 Median $63.10 Typical High $67.61 | Professional | 52 · Reduced service | $50.12 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.12 Typical High $26.92 | Professional | 53 · Discontinued | $20.42 | $25.12 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $100.00 | $100.00 |
Where Colorado sits
The same service costs 3.9 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
AK $363TX $93.33
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.