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 $104.71 Median $147.91 Typical High $173.78 | Facility | None | $104.71 | $147.91 | $173.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $51.29 | Facility | 26 · Professional part | $30.90 | $41.69 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $120.23 Typical High $338.84 | Facility | TC · Technical part | $74.13 | $120.23 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $93.33 | $104.71 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $27.54 | $30.90 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $125.89 | Professional | TC · Technical part | $64.57 | $74.13 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $275.42 Typical High $512.86 | Facility | None | $234.42 | $275.42 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $117.49 | $165.96 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $47.86 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $169.82 | Professional | TC · Technical part | $83.18 | $112.20 | $169.82 |
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 $77.62 Median $109.65 Typical High $234.42 | Professional | None (both parts) | $77.62 | $109.65 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $74.13 | Professional | 26 · Professional part | $26.92 | $34.67 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $74.13 Typical High $162.18 | Professional | TC · Technical part | $42.66 | $74.13 | $162.18 |
Denver HMP Setting Facility Modifier None Typical Low $100.00 Median $134.90 Typical High $186.21 | Facility | None | $100.00 | $134.90 | $186.21 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $144.54 Typical High $204.17 | Professional | None | $109.65 | $144.54 | $204.17 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $42.66 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $104.71 Typical High $144.54 | Professional | TC · Technical part | $77.62 | $104.71 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $102.33 Median $190.55 Typical High $218.78 | Facility | None | $102.33 | $190.55 | $218.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $190.55 | Professional | None (both parts) | $85.11 | $102.33 | $190.55 |
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 $91.20 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $91.20 | $128.82 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $41.69 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $91.20 Typical High $147.91 | Professional | TC · Technical part | $56.23 | $91.20 | $147.91 |
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 $44.67 Median $52.48 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $17.78 | $20.89 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $70.79 | $85.11 | $85.11 |
Where Colorado sits
The same service costs 4.2 times more in Alaska than in Utah. 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
$145
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.