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 $158.49 Median $169.82 Typical High $229.09 | Facility | None | $158.49 | $169.82 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $120.23 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $47.86 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $151.36 | Professional | TC · Technical part | $87.10 | $120.23 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $186.21 | $257.04 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $74.13 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $275.42 | Professional | TC · Technical part | $134.90 | $190.55 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $245.47 Typical High $457.09 | Facility | None | $114.82 | $245.47 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $346.74 | Professional | None (both parts) | $117.49 | $165.96 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $100.00 | Professional | 26 · Professional part | $31.62 | $48.98 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $251.19 | Professional | TC · Technical part | $85.11 | $117.49 | $251.19 |
Denver HMP Setting Facility Modifier None Typical Low $158.49 Median $169.82 Typical High $239.88 | Facility | None | $158.49 | $169.82 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $346.74 Typical High $346.74 | Professional | None | $199.53 | $346.74 | $346.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $147.91 | $147.91 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $354.81 | Professional | None (both parts) | $144.54 | $218.78 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $38.90 | $64.57 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $104.71 | $158.49 | $245.47 |
2 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 FX · Film X-ray Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $112.20 | $134.90 | $134.90 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $109.65 Median $218.78 Typical High $309.03 | Professional | 50 · Both sides | $109.65 | $218.78 | $309.03 |
Where Colorado sits
The same service costs 5.2 times more in Alaska than in New York. 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· 13th of 51
$224
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.