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 $151.36 Typical High $234.42 | Facility | None | $120.23 | $151.36 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $117.49 | $151.36 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $33.11 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $186.21 | Professional | TC · Technical part | $87.10 | $117.49 | $186.21 |
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 $158.49 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $158.49 | $223.87 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $50.12 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $165.96 Typical High $251.19 | Professional | TC · Technical part | $120.23 | $165.96 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $208.93 Typical High $426.58 | Facility | None | $117.49 | $208.93 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $177.83 Typical High $371.54 | Professional | None (both parts) | $107.15 | $177.83 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $79.43 | Professional | 26 · Professional part | $29.51 | $38.02 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $131.83 Typical High $309.03 | Professional | TC · Technical part | $69.18 | $131.83 | $309.03 |
Denver HMP Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $218.78 | Facility | None | $134.90 | $181.97 | $218.78 |
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 $263.03 | Professional | None | $134.90 | $177.83 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $45.71 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $100.00 | $134.90 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $234.42 Typical High $263.03 | Facility | None | $125.89 | $234.42 | $263.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $123.03 | $158.49 | $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 $117.49 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $117.49 | $190.55 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $43.65 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $144.54 Typical High $295.12 | Professional | TC · Technical part | $85.11 | $144.54 | $295.12 |
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 $57.54 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $57.54 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $22.91 | $30.20 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $91.20 | $120.23 | $120.23 |
Where Colorado sits
The same service costs 4.9 times more in Wyoming 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· 16th of 51
$195
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.