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 $162.18 Typical High $1,000.00 | Facility | None | $120.23 | $162.18 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,000.00 Typical High $1,023.29 | Professional | None (both parts) | $776.25 | $1,000.00 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $102.33 Typical High $107.15 | Professional | 26 · Professional part | $93.33 | $102.33 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $891.25 Typical High $933.25 | Professional | TC · Technical part | $758.58 | $891.25 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,659.59 Typical High $2,511.89 | Professional | None (both parts) | $1,122.02 | $1,659.59 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $162.18 Typical High $245.47 | Professional | 26 · Professional part | $109.65 | $162.18 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,479.11 Typical High $2,238.72 | Professional | TC · Technical part | $1,000.00 | $1,479.11 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $812.83 Typical High $2,818.38 | Facility | None | $117.49 | $812.83 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,288.25 Typical High $1,819.70 | Professional | None (both parts) | $741.31 | $1,288.25 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $144.54 Typical High $223.87 | Professional | 26 · Professional part | $95.50 | $144.54 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,148.15 Typical High $1,659.59 | Professional | TC · Technical part | $707.95 | $1,148.15 | $1,659.59 |
Denver HMP Setting Facility Modifier None Typical Low $562.34 Median $1,000.00 Typical High $1,445.44 | Facility | None | $562.34 | $1,000.00 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,096.48 | $1,698.24 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $162.18 Typical High $213.80 | Professional | 26 · Professional part | $104.71 | $162.18 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,513.56 Typical High $1,949.84 | Professional | TC · Technical part | $1,000.00 | $1,513.56 | $1,949.84 |
Select Health Setting Facility Modifier None Typical Low $1,096.48 Median $2,041.74 Typical High $2,290.87 | Facility | None | $1,096.48 | $2,041.74 | $2,290.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,096.48 Typical High $2,570.40 | Professional | None (both parts) | $758.58 | $1,096.48 | $2,570.40 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,235.94 Typical High $3,630.78 | Facility | None | $3,019.95 | $3,235.94 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,348.96 Typical High $1,995.26 | Professional | None (both parts) | $660.69 | $1,348.96 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $169.82 Typical High $239.88 | Professional | 26 · Professional part | $123.03 | $169.82 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $1,174.90 Typical High $1,737.80 | Professional | TC · Technical part | $537.03 | $1,174.90 | $1,737.80 |
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 $426.58 Median $501.19 Typical High $524.81 | Professional | 52 · Reduced service | $426.58 | $501.19 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $199.53 Typical High $208.93 | Professional | 53 · Discontinued | $169.82 | $199.53 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $724.44 Median $794.33 Typical High $812.83 | Professional | FX · Film X-ray | $724.44 | $794.33 | $812.83 |
Where Colorado sits
The same service costs 5.5 times more in Alaska than in Indiana. 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
$1,479
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.