How much rates vary
Facilitymedian $102 · 10th to 90th $41 to $209Professionalmedian $55 · 10th to 90th $34 to $83
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 $40.74 Median $52.48 Typical High $120.23 | Facility | None | $40.74 | $52.48 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $67.61 | Professional | None (both parts) | $33.88 | $40.74 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.80 Typical High $22.39 | Professional | 26 · Professional part | $12.88 | $13.80 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $20.42 | $26.92 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $112.20 Typical High $208.93 | Facility | None | $95.50 | $112.20 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $60.26 Typical High $91.20 | Professional | None (both parts) | $42.66 | $60.26 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.38 Typical High $31.62 | Professional | 26 · Professional part | $15.85 | $21.38 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $29.51 | $39.81 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $125.89 | Facility | None | $117.49 | $123.03 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $83.18 | Professional | None (both parts) | $29.51 | $38.90 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.60 Typical High $33.11 | Professional | 26 · Professional part | $12.30 | $16.60 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.44 Typical High $48.98 | Professional | TC · Technical part | $15.85 | $23.44 | $48.98 |
Denver HMP Setting Facility Modifier None Typical Low $36.31 Median $48.98 Typical High $87.10 | Facility | None | $36.31 | $48.98 | $87.10 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $83.18 | Professional | None | $45.71 | $58.88 | $83.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.50 Typical High $27.54 | Professional | 26 · Professional part | $14.79 | $19.50 | $27.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $56.23 | Professional | TC · Technical part | $30.90 | $39.81 | $56.23 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $77.62 Typical High $89.13 | Facility | None | $41.69 | $77.62 | $89.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $81.28 | Professional | None (both parts) | $32.36 | $41.69 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $46.77 Typical High $74.13 | Professional | None (both parts) | $33.88 | $46.77 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $29.51 | Professional | 26 · Professional part | $14.79 | $19.05 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $28.18 Typical High $46.77 | Professional | TC · Technical part | $19.05 | $28.18 | $46.77 |
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 $16.22 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $16.22 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $6.61 | $8.13 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $26.30 | $32.36 | $32.36 |
Where Colorado sits
The same service costs 4.1 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· 14th of 51
$54.95
AK $117FL $28.84
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.