How much rates vary
Facilitymedian $1,072 · 10th to 90th $162 to $2,188Professionalmedian $631 · 10th to 90th $407 to $1,023
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $446.68 | Facility | None | $120.23 | $162.18 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $363.08 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $194.98 | $213.80 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $204.17 | $239.88 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $2,187.76 | Facility | None | $1,000.00 | $1,174.90 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $707.95 Typical High $1,071.52 | Professional | None (both parts) | $446.68 | $707.95 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $331.13 Typical High $512.86 | Professional | 26 · Professional part | $229.09 | $331.13 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $371.54 Typical High $575.44 | Professional | TC · Technical part | $251.19 | $371.54 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $213.80 Typical High $2,344.23 | Facility | None | $117.49 | $213.80 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $602.56 Typical High $831.76 | Professional | None (both parts) | $380.19 | $602.56 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $295.12 Typical High $407.38 | Professional | 26 · Professional part | $190.55 | $295.12 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $186.21 | $295.12 | $426.58 |
Denver HMP Setting Facility Modifier None Typical Low $380.19 Median $467.74 Typical High $645.65 | Facility | None | $380.19 | $467.74 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $691.83 Typical High $912.01 | Professional | None | $446.68 | $691.83 | $912.01 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $323.59 Typical High $426.58 | Professional | 26 · Professional part | $208.93 | $323.59 | $426.58 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $363.08 Typical High $489.78 | Professional | TC · Technical part | $234.42 | $363.08 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $812.83 Typical High $933.25 | Facility | None | $446.68 | $812.83 | $933.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $1,047.13 | Professional | None (both parts) | $309.03 | $446.68 | $1,047.13 |
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 $407.38 Median $645.65 Typical High $933.25 | Professional | None (both parts) | $407.38 | $645.65 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $323.59 Typical High $467.74 | Professional | 26 · Professional part | $223.87 | $323.59 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $323.59 Typical High $457.09 | Professional | TC · Technical part | $186.21 | $323.59 | $457.09 |
4 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 $199.53 Median $223.87 Typical High $245.47 | Professional | 52 · Reduced service | $199.53 | $223.87 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $89.13 Typical High $97.72 | Professional | 53 · Discontinued | $79.43 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $316.23 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $275.42 | $316.23 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $363.08 Typical High $363.08 | Professional | FX · Film X-ray | $331.13 | $363.08 | $363.08 |
Where Colorado sits
The same service costs 5.6 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· 12th of 51
$646
AK $1,698FL $302
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.