How much rates vary
Facilitymedian $117 · 10th to 90th $48 to $240Professionalmedian $66 · 10th to 90th $39 to $107
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 $47.86 Median $61.66 Typical High $120.23 | Facility | None | $47.86 | $61.66 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $79.43 | Professional | None (both parts) | $38.90 | $47.86 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.49 Typical High $21.88 | Professional | 26 · Professional part | $12.59 | $13.49 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $34.67 Typical High $58.88 | Professional | TC · Technical part | $25.12 | $34.67 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $128.82 Typical High $239.88 | Facility | None | $109.65 | $128.82 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $77.62 Typical High $141.25 | Professional | None (both parts) | $52.48 | $77.62 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $21.38 Typical High $30.90 | Professional | 26 · Professional part | $14.79 | $21.38 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $54.95 Typical High $79.43 | Professional | TC · Technical part | $38.02 | $54.95 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $426.58 | Facility | None | $107.15 | $165.96 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $51.29 Typical High $97.72 | Professional | None (both parts) | $32.36 | $51.29 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.98 Typical High $30.90 | Professional | 26 · Professional part | $11.48 | $16.98 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $32.36 Typical High $61.66 | Professional | TC · Technical part | $19.95 | $32.36 | $61.66 |
Denver HMP Setting Facility Modifier None Typical Low $43.65 Median $54.95 Typical High $69.18 | Facility | None | $43.65 | $54.95 | $69.18 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $107.15 | Professional | None | $51.29 | $74.13 | $107.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.95 Typical High $28.84 | Professional | 26 · Professional part | $13.80 | $19.95 | $28.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $53.70 Typical High $77.62 | Professional | TC · Technical part | $37.15 | $53.70 | $77.62 |
Select Health Setting Facility Modifier None Typical Low $48.98 Median $89.13 Typical High $102.33 | Facility | None | $48.98 | $89.13 | $102.33 |
Select Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $36.31 | $48.98 | $95.50 |
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 $37.15 Median $58.88 Typical High $91.20 | Professional | None (both parts) | $37.15 | $58.88 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.62 Typical High $29.51 | Professional | 26 · Professional part | $13.18 | $18.62 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $38.02 Typical High $64.57 | Professional | TC · Technical part | $23.99 | $38.02 | $64.57 |
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 52 · Reduced service Typical Low $19.05 Median $23.99 Typical High $25.12 | Professional | 52 · Reduced service | $19.05 | $23.99 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $38.02 Typical High $38.02 | Professional | FX · Film X-ray | $31.62 | $38.02 | $38.02 |
Where Colorado sits
The same service costs 4.0 times more in Alaska than in Utah. 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
$67.61
AK $132UT $33.11
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.