How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $162.18 Typical High $281.84 | Facility | None | $120.23 | $162.18 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $181.97 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $34.67 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $177.83 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $537.03 | Professional | None (both parts) | $263.03 | $371.54 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $43.65 | $60.26 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $354.81 Typical High $501.19 | Professional | TC · Technical part | $245.47 | $354.81 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $363.08 Typical High $977.24 | Facility | None | $117.49 | $363.08 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $91.20 | $95.50 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $36.31 | $38.90 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $100.00 | Professional | TC · Technical part | $53.70 | $57.54 | $100.00 |
Denver HMP Setting Facility Modifier None Typical Low $109.65 Median $281.84 Typical High $398.11 | Facility | None | $109.65 | $281.84 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $575.44 | Professional | None | $309.03 | $380.19 | $575.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $60.26 | $93.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $354.81 Typical High $537.03 | Professional | TC · Technical part | $288.40 | $354.81 | $537.03 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $562.34 Typical High $630.96 | Facility | None | $302.00 | $562.34 | $630.96 |
Select Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $251.19 | $302.00 | $562.34 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $43.65 | $81.28 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $213.80 | $257.04 | $478.63 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,258.93 | Facility | None | $1,047.13 | $1,096.48 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $309.03 Typical High $512.86 | Professional | None (both parts) | $107.15 | $309.03 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $47.86 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $63.10 | $257.04 | $436.52 |
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 $93.33 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $93.33 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $37.15 | $56.23 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $173.78 | $223.87 | $223.87 |
Where Colorado sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 4th of 51
$324
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.