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 $1,148.15 | Facility | None | $120.23 | $162.18 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $933.25 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $93.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,023.29 Typical High $1,023.29 | Professional | TC · Technical part | $891.25 | $1,023.29 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,862.09 Typical High $2,818.38 | Professional | None (both parts) | $1,258.93 | $1,862.09 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $109.65 | $158.49 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,698.24 Typical High $2,570.40 | Professional | TC · Technical part | $1,148.15 | $1,698.24 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $933.25 Typical High $2,344.23 | Facility | None | $117.49 | $933.25 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,548.82 Typical High $2,187.76 | Professional | None (both parts) | $831.76 | $1,548.82 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $144.54 Typical High $208.93 | Professional | 26 · Professional part | $91.20 | $144.54 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,348.96 Typical High $1,995.26 | Professional | TC · Technical part | $891.25 | $1,348.96 | $1,995.26 |
Denver HMP Setting Facility Modifier None Typical Low $588.84 Median $1,148.15 Typical High $1,621.81 | Facility | None | $588.84 | $1,148.15 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $2,344.23 | Professional | None | $1,122.02 | $1,737.80 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $151.36 Typical High $204.17 | Professional | 26 · Professional part | $97.72 | $151.36 | $204.17 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,584.89 Typical High $2,137.96 | Professional | TC · Technical part | $1,023.29 | $1,584.89 | $2,137.96 |
Select Health Setting Facility Modifier None Typical Low $1,122.02 Median $2,089.30 Typical High $2,344.23 | Facility | None | $1,122.02 | $2,089.30 | $2,344.23 |
Select Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,122.02 Typical High $2,630.27 | Professional | None (both parts) | $794.33 | $1,122.02 | $2,630.27 |
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 $831.76 Median $1,698.24 Typical High $2,454.71 | Professional | None (both parts) | $831.76 | $1,698.24 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $162.18 Typical High $223.87 | Professional | 26 · Professional part | $123.03 | $162.18 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,548.82 Typical High $2,187.76 | Professional | TC · Technical part | $707.95 | $1,548.82 | $2,187.76 |
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 $489.78 Median $562.34 Typical High $602.56 | Professional | 52 · Reduced service | $489.78 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $229.09 Typical High $239.88 | Professional | 53 · Discontinued | $194.98 | $229.09 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $891.25 Median $912.01 Typical High $912.01 | Professional | FX · Film X-ray | $891.25 | $912.01 | $912.01 |
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· 12th of 51
$1,660
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.