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 $512.86 Typical High $851.14 | Facility | None | $120.23 | $512.86 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $512.86 Typical High $851.14 | Professional | None (both parts) | $501.19 | $512.86 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $234.42 Typical High $380.19 | Professional | 26 · Professional part | $208.93 | $234.42 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $309.03 Typical High $467.74 | Professional | TC · Technical part | $275.42 | $309.03 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $794.33 Typical High $1,258.93 | Professional | None (both parts) | $537.03 | $794.33 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $371.54 Typical High $562.34 | Professional | 26 · Professional part | $257.04 | $371.54 | $562.34 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $741.31 | Professional | TC · Technical part | $295.12 | $436.52 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $251.19 Typical High $5,495.41 | Facility | None | $117.49 | $251.19 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $758.58 Typical High $1,548.82 | Professional | None (both parts) | $457.09 | $758.58 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $331.13 Typical High $457.09 | Professional | 26 · Professional part | $208.93 | $331.13 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $416.87 Typical High $741.31 | Professional | TC · Technical part | $245.47 | $416.87 | $741.31 |
Denver HMP Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $1,412.54 | Facility | None | $467.74 | $724.44 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $794.33 Typical High $1,047.13 | Professional | None | $501.19 | $794.33 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $354.81 Typical High $478.63 | Professional | 26 · Professional part | $229.09 | $354.81 | $478.63 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $426.58 Typical High $575.44 | Professional | TC · Technical part | $275.42 | $426.58 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $933.25 Typical High $1,071.52 | Facility | None | $501.19 | $933.25 | $1,071.52 |
Select Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $501.19 Typical High $1,202.26 | Professional | None (both parts) | $354.81 | $501.19 | $1,202.26 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $6,309.57 Typical High $7,244.36 | Facility | None | $6,025.60 | $6,309.57 | $7,244.36 |
United Setting Professional Modifier None (both parts) Typical Low $630.96 Median $891.25 Typical High $1,174.90 | Professional | None (both parts) | $630.96 | $891.25 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $363.08 Typical High $524.81 | Professional | 26 · Professional part | $269.15 | $363.08 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $489.78 Typical High $870.96 | Professional | TC · Technical part | $346.74 | $489.78 | $870.96 |
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 $223.87 Median $257.04 Typical High $281.84 | Professional | 52 · Reduced service | $223.87 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $102.33 Typical High $112.20 | Professional | 53 · Discontinued | $91.20 | $102.33 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $389.05 Median $407.38 Typical High $416.87 | Professional | FX · Film X-ray | $389.05 | $407.38 | $416.87 |
Where Colorado sits
The same service costs 4.9 times more in Alaska 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· 18th of 51
$759
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.