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 $724.44 | Facility | None | $120.23 | $162.18 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $602.56 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $74.13 | Professional | 26 · Professional part | $66.07 | $72.44 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $562.34 | $645.65 | $645.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,174.90 Typical High $1,778.28 | Professional | None (both parts) | $812.83 | $1,174.90 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $77.62 | $114.82 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,071.52 Typical High $1,621.81 | Professional | TC · Technical part | $724.44 | $1,071.52 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $588.84 Typical High $2,344.23 | Facility | None | $117.49 | $588.84 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,000.00 Typical High $1,621.81 | Professional | None (both parts) | $575.44 | $1,000.00 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $102.33 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $912.01 Typical High $1,479.11 | Professional | TC · Technical part | $575.44 | $912.01 | $1,479.11 |
Denver HMP Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $1,258.93 | Facility | None | $467.74 | $724.44 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,479.11 | Professional | None | $707.95 | $1,096.48 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $109.65 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $1,000.00 Typical High $1,318.26 | Professional | TC · Technical part | $645.65 | $1,000.00 | $1,318.26 |
Select Health Setting Facility Modifier None Typical Low $707.95 Median $1,318.26 Typical High $1,513.56 | Facility | None | $707.95 | $1,318.26 | $1,513.56 |
Select Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $707.95 Typical High $1,698.24 | Professional | None (both parts) | $501.19 | $707.95 | $1,698.24 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,884.03 | Facility | None | $2,398.83 | $2,511.89 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,122.02 Typical High $1,737.80 | Professional | None (both parts) | $588.84 | $1,122.02 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $114.82 Typical High $158.49 | Professional | 26 · Professional part | $89.13 | $114.82 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $1,000.00 Typical High $1,548.82 | Professional | TC · Technical part | $501.19 | $1,000.00 | $1,548.82 |
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 $309.03 Median $363.08 Typical High $380.19 | Professional | 52 · Reduced service | $309.03 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $144.54 Typical High $151.36 | Professional | 53 · Discontinued | $123.03 | $144.54 | $151.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | FX · Film X-ray | $575.44 | $575.44 | $575.44 |
Where Colorado sits
The same service costs 5.1 times more in Alaska than in Texas. 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· 12th of 51
$1,072
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.