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 $363.08 Typical High $467.74 | Facility | None | $120.23 | $363.08 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $190.55 | $288.40 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $38.90 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $245.47 Typical High $416.87 | Professional | TC · Technical part | $162.18 | $245.47 | $416.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $316.23 | $457.09 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $61.66 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $398.11 Typical High $602.56 | Professional | TC · Technical part | $275.42 | $398.11 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $537.03 | Facility | None | $117.49 | $223.87 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $204.17 | $371.54 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $54.95 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $309.03 Typical High $489.78 | Professional | TC · Technical part | $162.18 | $309.03 | $489.78 |
Denver HMP Setting Facility Modifier None Typical Low $245.47 Median $288.40 Typical High $457.09 | Facility | None | $245.47 | $288.40 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $588.84 | Professional | None | $288.40 | $436.52 | $588.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $58.88 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $380.19 Typical High $512.86 | Professional | TC · Technical part | $245.47 | $380.19 | $512.86 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $524.81 Typical High $602.56 | Facility | None | $288.40 | $524.81 | $602.56 |
Select Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $676.08 | Professional | None (both parts) | $199.53 | $288.40 | $676.08 |
United Setting Facility Modifier None Typical Low $588.84 Median $616.60 Typical High $707.95 | Facility | None | $588.84 | $616.60 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $426.58 Typical High $630.96 | Professional | None (both parts) | $229.09 | $426.58 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $41.69 | $60.26 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $371.54 Typical High $549.54 | Professional | TC · Technical part | $190.55 | $371.54 | $549.54 |
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 $123.03 Median $144.54 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $144.54 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $57.54 Typical High $60.26 | Professional | 53 · Discontinued | $50.12 | $57.54 | $60.26 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $229.09 Typical High $234.42 | Professional | FX · Film X-ray | $218.78 | $229.09 | $234.42 |
Where Colorado sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 10th of 51
$417
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.