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 $85.11 Median $120.23 Typical High $371.54 | Facility | None | $85.11 | $120.23 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $38.90 | $85.11 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $32.36 Typical High $51.29 | Professional | 26 · Professional part | $18.62 | $32.36 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $51.29 Typical High $89.13 | Professional | TC · Technical part | $20.42 | $51.29 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $229.09 Typical High $426.58 | Facility | None | $194.98 | $229.09 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $64.57 | $128.82 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $35.48 | $52.48 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $85.11 Typical High $123.03 | Professional | TC · Technical part | $57.54 | $85.11 | $123.03 |
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 $35.48 Median $70.79 Typical High $141.25 | Professional | None (both parts) | $35.48 | $70.79 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $16.98 | $30.20 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $40.74 Typical High $85.11 | Professional | TC · Technical part | $19.05 | $40.74 | $85.11 |
Denver HMP Setting Facility Modifier None Typical Low $53.70 Median $97.72 Typical High $213.80 | Facility | None | $53.70 | $97.72 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $181.97 | Professional | None | $85.11 | $120.23 | $181.97 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $45.71 | $69.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $74.13 | $112.20 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $158.49 Typical High $181.97 | Facility | None | $85.11 | $158.49 | $181.97 |
Select Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $85.11 Typical High $165.96 | Professional | None (both parts) | $60.26 | $85.11 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $44.67 | $97.72 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $19.05 | $41.69 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $54.95 Typical High $97.72 | Professional | TC · Technical part | $26.30 | $54.95 | $97.72 |
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 $37.15 Median $41.69 Typical High $43.65 | Professional | 52 · Reduced service | $37.15 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $17.38 | Professional | 53 · Discontinued | $14.79 | $16.98 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $67.61 Typical High $67.61 | Professional | FX · Film X-ray | $66.07 | $67.61 | $67.61 |
Where Colorado sits
The same service costs 5.9 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· 11th of 51
$117
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.