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 $125.89 Median $162.18 Typical High $204.17 | Facility | None | $125.89 | $162.18 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $56.23 | Facility | 26 · Professional part | $33.88 | $44.67 | $56.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $204.17 | Facility | TC · Technical part | $91.20 | $123.03 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $109.65 | $125.89 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $33.88 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $151.36 | Professional | TC · Technical part | $79.43 | $91.20 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $616.60 | Facility | None | $281.84 | $331.13 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $141.25 | $194.98 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $51.29 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $208.93 | Professional | TC · Technical part | $100.00 | $141.25 | $208.93 |
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 $131.83 Typical High $281.84 | Professional | None (both parts) | $104.71 | $131.83 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $81.28 | Professional | 26 · Professional part | $29.51 | $38.02 | $81.28 |
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 $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 $40.74 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $40.74 | $112.20 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $245.47 | Professional | None | $131.83 | $173.78 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $46.77 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $181.97 | Professional | TC · Technical part | $97.72 | $128.82 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $229.09 Typical High $257.04 | Facility | None | $123.03 | $229.09 | $257.04 |
Select Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $100.00 | $123.03 | $229.09 |
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 $114.82 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $114.82 | $158.49 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $44.67 | $70.79 |
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 $51.29 Median $63.10 Typical High $67.61 | Professional | 52 · Reduced service | $51.29 | $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 3.6 times more in Alaska 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· 13th 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.