How much rates vary
Facilitymedian $22 · 10th to 90th $10 to $209Professionalmedian $11 · 10th to 90th $6 to $26
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 $7.59 Median $120.23 Typical High $162.18 | Facility | None | $7.59 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.17 Median $7.59 Typical High $8.32 | Professional | None (both parts) | $6.17 | $7.59 | $8.32 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $2.69 Typical High $3.02 | Professional | 26 · Professional part | $2.29 | $2.69 | $3.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $4.90 Typical High $5.25 | Professional | TC · Technical part | $3.72 | $4.90 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $20.89 Typical High $38.90 | Facility | None | $17.78 | $20.89 | $38.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $4.90 Median $11.48 Typical High $25.70 | Professional | None (both parts) | $4.90 | $11.48 | $25.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $4.37 Typical High $8.51 | Professional | 26 · Professional part | $3.02 | $4.37 | $8.51 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $5.25 Median $7.24 Typical High $10.96 | Professional | TC · Technical part | $5.25 | $7.24 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $426.58 | Facility | None | $107.15 | $125.89 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6.46 Median $10.47 Typical High $32.36 | Professional | None (both parts) | $6.46 | $10.47 | $32.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.34 Median $3.47 Typical High $6.46 | Professional | 26 · Professional part | $2.34 | $3.47 | $6.46 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $7.59 Typical High $20.89 | Professional | TC · Technical part | $3.98 | $7.59 | $20.89 |
Denver HMP Setting Facility Modifier None Typical Low $7.08 Median $10.96 Typical High $41.69 | Facility | None | $7.08 | $10.96 | $41.69 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None (both parts) | $14.45 | $14.45 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $17.38 | Professional | None | $8.32 | $12.02 | $17.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $3.98 Typical High $5.89 | Professional | 26 · Professional part | $2.82 | $3.98 | $5.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $5.50 Median $7.94 Typical High $11.48 | Professional | TC · Technical part | $5.50 | $7.94 | $11.48 |
Select Health Setting Facility Modifier None Typical Low $7.94 Median $14.45 Typical High $16.60 | Facility | None | $7.94 | $14.45 | $16.60 |
Select Health Setting Professional Modifier None (both parts) Typical Low $5.75 Median $7.94 Typical High $15.49 | Professional | None (both parts) | $5.75 | $7.94 | $15.49 |
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 $7.24 Median $12.02 Typical High $23.99 | Professional | None (both parts) | $7.24 | $12.02 | $23.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $3.80 Typical High $5.89 | Professional | 26 · Professional part | $2.69 | $3.80 | $5.89 |
United Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $7.59 Typical High $19.50 | Professional | TC · Technical part | $4.47 | $7.59 | $19.50 |
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 $3.09 Median $3.80 Typical High $4.17 | Professional | 52 · Reduced service | $3.09 | $3.80 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.51 Typical High $1.66 | Professional | 53 · Discontinued | $1.23 | $1.51 | $1.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $4.90 Median $6.17 Typical High $6.31 | Professional | FX · Film X-ray | $4.90 | $6.17 | $6.31 |
Where Colorado sits
The same service costs 4.2 times more in Kansas 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· 22nd of 51
$10.96
KS $23.99FL $5.75
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.