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 $120.23 Median $120.23 Typical High $190.55 | Facility | None | $120.23 | $120.23 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $107.15 | $120.23 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $35.48 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $85.11 Typical High $144.54 | Professional | TC · Technical part | $74.13 | $85.11 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $331.13 Typical High $616.60 | Facility | None | $275.42 | $331.13 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $123.03 | $181.97 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $53.70 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $97.72 | $134.90 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $363.08 Typical High $977.24 | Facility | None | $117.49 | $363.08 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $269.15 | Professional | None (both parts) | $104.71 | $128.82 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $39.81 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $89.13 | $190.55 |
Denver HMP Setting Facility Modifier None Typical Low $112.20 Median $154.88 Typical High $234.42 | Facility | None | $112.20 | $154.88 | $234.42 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $239.88 | Professional | None | $131.83 | $173.78 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $50.12 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $125.89 | $169.82 |
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 $97.72 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $97.72 | $123.03 | $229.09 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,258.93 | Facility | None | $1,047.13 | $1,096.48 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $120.23 | $154.88 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $46.77 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $83.18 | $107.15 | $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 $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $51.29 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $23.99 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $81.28 | $97.72 | $97.72 |
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· 13th of 51
$166
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.