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 $54.95 Median $91.20 Typical High $154.88 | Facility | None | $54.95 | $91.20 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $54.95 Typical High $125.89 | Professional | None (both parts) | $53.70 | $54.95 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $25.70 | $43.65 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $12.30 Typical High $89.13 | Professional | TC · Technical part | $11.48 | $12.30 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $147.91 Typical High $275.42 | Facility | None | $125.89 | $147.91 | $275.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $89.13 Typical High $134.90 | Professional | None (both parts) | $61.66 | $89.13 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $46.77 | $66.07 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $18.62 Typical High $28.84 | Professional | TC · Technical part | $13.18 | $18.62 | $28.84 |
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 $52.48 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $52.48 | $109.65 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $83.18 | Professional | 26 · Professional part | $26.92 | $38.90 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $75.86 Typical High $128.82 | Professional | TC · Technical part | $10.72 | $75.86 | $128.82 |
Denver HMP Setting Facility Modifier None Typical Low $54.95 Median $79.43 Typical High $158.49 | Facility | None | $54.95 | $79.43 | $158.49 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $109.65 | Professional | None | $58.88 | $77.62 | $109.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $46.77 | $61.66 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $16.22 Typical High $23.44 | Professional | TC · Technical part | $12.30 | $16.22 | $23.44 |
Select Health Setting Facility Modifier None Typical Low $54.95 Median $102.33 Typical High $114.82 | Facility | None | $54.95 | $102.33 | $114.82 |
Select Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $44.67 | $56.23 | $102.33 |
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 $79.43 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $79.43 | $120.23 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $30.90 | $40.74 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $75.86 Typical High $123.03 | Professional | TC · Technical part | $21.88 | $75.86 | $123.03 |
1 more rate 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 FX · Film X-ray Typical Low $40.74 Median $44.67 Typical High $50.12 | Professional | FX · Film X-ray | $40.74 | $44.67 | $50.12 |
Where Colorado sits
The same service costs 4.0 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· 30th of 51
$91.20
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.