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 $676.08 | Facility | None | $120.23 | $162.18 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $501.19 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $83.18 Typical High $87.10 | Professional | 26 · Professional part | $77.62 | $83.18 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $478.63 | $588.84 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,096.48 Typical High $1,659.59 | Professional | None (both parts) | $741.31 | $1,096.48 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $134.90 Typical High $204.17 | Professional | 26 · Professional part | $91.20 | $134.90 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $954.99 Typical High $1,445.44 | Professional | TC · Technical part | $660.69 | $954.99 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $2,344.23 | Facility | None | $117.49 | $537.03 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $812.83 Typical High $1,230.27 | Professional | None (both parts) | $457.09 | $812.83 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $120.23 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $120.23 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $758.58 Typical High $1,071.52 | Professional | TC · Technical part | $389.05 | $758.58 | $1,071.52 |
Denver HMP Setting Facility Modifier None Typical Low $323.59 Median $676.08 Typical High $954.99 | Facility | None | $323.59 | $676.08 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $1,148.15 Typical High $1,584.89 | Professional | None | $776.25 | $1,148.15 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $134.90 | $177.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,000.00 Typical High $1,348.96 | Professional | TC · Technical part | $691.83 | $1,000.00 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $776.25 Median $1,412.54 Typical High $1,621.81 | Facility | None | $776.25 | $1,412.54 | $1,621.81 |
Select Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $776.25 Typical High $1,819.70 | Professional | None (both parts) | $537.03 | $776.25 | $1,819.70 |
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 $416.87 Median $933.25 Typical High $1,412.54 | Professional | None (both parts) | $416.87 | $933.25 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $95.50 | $134.90 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $812.83 Typical High $1,202.26 | Professional | TC · Technical part | $316.23 | $812.83 | $1,202.26 |
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 $281.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $281.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $112.20 | $134.90 | $134.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $457.09 Median $537.03 Typical High $537.03 | Professional | FX · Film X-ray | $457.09 | $537.03 | $537.03 |
Where Colorado sits
The same service costs 6.0 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
$977
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.