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 $41.69 Median $75.86 Typical High $131.83 | Facility | None | $41.69 | $75.86 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $57.54 Typical High $147.91 | Facility | TC · Technical part | $32.36 | $57.54 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $107.15 | Professional | None (both parts) | $37.15 | $44.67 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.77 Typical High $15.85 | Professional | 26 · Professional part | $9.12 | $9.77 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.11 Typical High $95.50 | Professional | TC · Technical part | $27.54 | $33.11 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $204.17 | Facility | None | $93.33 | $109.65 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $66.07 Typical High $141.25 | Professional | None (both parts) | $46.77 | $66.07 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $22.39 | Professional | 26 · Professional part | $10.96 | $15.14 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $48.98 Typical High $74.13 | Professional | TC · Technical part | $35.48 | $48.98 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $173.78 Typical High $426.58 | Facility | None | $107.15 | $173.78 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $67.61 Typical High $134.90 | Professional | None (both parts) | $36.31 | $67.61 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.30 Typical High $21.88 | Professional | 26 · Professional part | $8.32 | $12.30 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $52.48 Typical High $112.20 | Professional | TC · Technical part | $26.92 | $52.48 | $112.20 |
Denver HMP Setting Facility Modifier None Typical Low $38.02 Median $60.26 Typical High $144.54 | Facility | None | $38.02 | $60.26 | $144.54 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $63.10 Typical High $91.20 | Professional | None | $43.65 | $63.10 | $91.20 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.79 Typical High $20.89 | Professional | 26 · Professional part | $10.00 | $14.79 | $20.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $48.98 Typical High $70.79 | Professional | TC · Technical part | $33.11 | $48.98 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $75.86 Typical High $87.10 | Facility | None | $41.69 | $75.86 | $87.10 |
Select Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $41.69 Typical High $81.28 | Professional | None (both parts) | $31.62 | $41.69 | $81.28 |
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 $39.81 Median $66.07 Typical High $104.71 | Professional | None (both parts) | $39.81 | $66.07 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $13.80 Typical High $21.38 | Professional | 26 · Professional part | $7.41 | $13.80 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $48.98 Typical High $85.11 | Professional | TC · Technical part | $30.20 | $48.98 | $85.11 |
1 more rate 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 $25.70 Median $33.11 Typical High $34.67 | Professional | FX · Film X-ray | $25.70 | $33.11 | $34.67 |
Where Colorado sits
The same service costs 4.2 times more in Vermont 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· 20th of 51
$66.07
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.