How much rates vary
Facilitymedian $1,413 · 10th to 90th $162 to $2,884Professionalmedian $832 · 10th to 90th $575 to $1,349
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 $588.84 | Facility | None | $120.23 | $162.18 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $478.63 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $316.23 Typical High $323.59 | Professional | 26 · Professional part | $288.40 | $316.23 | $323.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $234.42 | $275.42 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $2,884.03 | Facility | None | $1,318.26 | $1,548.82 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $630.96 Median $912.01 Typical High $1,412.54 | Professional | None (both parts) | $630.96 | $912.01 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $501.19 Typical High $758.58 | Professional | 26 · Professional part | $338.84 | $501.19 | $758.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $426.58 Typical High $645.65 | Professional | TC · Technical part | $288.40 | $426.58 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $251.19 Typical High $2,344.23 | Facility | None | $117.49 | $251.19 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $794.33 Typical High $1,122.02 | Professional | None (both parts) | $501.19 | $794.33 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $436.52 Typical High $616.60 | Professional | 26 · Professional part | $281.84 | $436.52 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $338.84 Typical High $478.63 | Professional | TC · Technical part | $218.78 | $338.84 | $478.63 |
Denver HMP Setting Facility Modifier None Typical Low $537.03 Median $645.65 Typical High $851.14 | Facility | None | $537.03 | $645.65 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $891.25 Typical High $1,202.26 | Professional | None | $575.44 | $891.25 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $478.63 Typical High $630.96 | Professional | 26 · Professional part | $309.03 | $478.63 | $630.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $416.87 Typical High $562.34 | Professional | TC · Technical part | $269.15 | $416.87 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $575.44 Median $1,071.52 Typical High $1,230.27 | Facility | None | $575.44 | $1,071.52 | $1,230.27 |
Select Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $588.84 Typical High $1,380.38 | Professional | None (both parts) | $407.38 | $588.84 | $1,380.38 |
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 $575.44 Median $851.14 Typical High $1,230.27 | Professional | None (both parts) | $575.44 | $851.14 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $489.78 Typical High $707.95 | Professional | 26 · Professional part | $338.84 | $489.78 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $371.54 Typical High $524.81 | Professional | TC · Technical part | $229.09 | $371.54 | $524.81 |
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 $263.03 Median $295.12 Typical High $323.59 | Professional | 52 · Reduced service | $263.03 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $117.49 Typical High $128.82 | Professional | 53 · Discontinued | $104.71 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $416.87 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $363.08 | $416.87 | $457.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $436.52 Median $467.74 Typical High $467.74 | Professional | FX · Film X-ray | $436.52 | $467.74 | $467.74 |
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
$851
AK $2,239FL $398
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.