How much rates vary
Facilitymedian $162 · 10th to 90th $62 to $302Professionalmedian $89 · 10th to 90th $58 to $182
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 $61.66 Median $93.33 Typical High $257.04 | Facility | None | $61.66 | $93.33 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $61.66 Typical High $199.53 | Professional | None (both parts) | $56.23 | $61.66 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $30.90 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $169.82 | Professional | TC · Technical part | $26.92 | $30.90 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $177.83 Typical High $331.13 | Facility | None | $151.36 | $177.83 | $331.13 |
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 $33.88 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $45.71 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $46.77 Typical High $69.18 | Professional | TC · Technical part | $33.88 | $46.77 | $69.18 |
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 $53.70 Median $102.33 Typical High $239.88 | Professional | None (both parts) | $53.70 | $102.33 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $74.13 | Professional | 26 · Professional part | $26.92 | $36.31 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $50.12 Typical High $177.83 | Professional | TC · Technical part | $23.99 | $50.12 | $177.83 |
Denver HMP Setting Facility Modifier None Typical Low $56.23 Median $89.13 Typical High $275.42 | Facility | None | $56.23 | $89.13 | $275.42 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $131.83 | Professional | None | $70.79 | $93.33 | $131.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $44.67 | $63.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $48.98 Typical High $69.18 | Professional | TC · Technical part | $37.15 | $48.98 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $123.03 Typical High $141.25 | Facility | None | $66.07 | $123.03 | $141.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $66.07 Typical High $128.82 | Professional | None (both parts) | $50.12 | $66.07 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $95.50 Typical High $194.98 | Professional | None (both parts) | $61.66 | $95.50 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $41.69 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $43.65 Typical High $151.36 | Professional | TC · Technical part | $27.54 | $43.65 | $151.36 |
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 $25.70 Median $30.90 Typical High $34.67 | Professional | 52 · Reduced service | $25.70 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.30 Typical High $13.80 | Professional | 53 · Discontinued | $10.23 | $12.30 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $50.12 Typical High $50.12 | Professional | FX · Film X-ray | $40.74 | $50.12 | $50.12 |
Where Colorado sits
The same service costs 4.6 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· 20th of 51
$91.20
AK $209TX $45.71
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.