How much rates vary
Facilitymedian $2,344 · 10th to 90th $162 to $4,786Professionalmedian $1,380 · 10th to 90th $933 to $2,239
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 $977.24 | Facility | None | $120.23 | $162.18 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $977.24 Typical High $1,548.82 | Professional | None (both parts) | $741.31 | $977.24 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $478.63 Typical High $758.58 | Professional | 26 · Professional part | $467.74 | $478.63 | $758.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $501.19 Typical High $794.33 | Professional | TC · Technical part | $288.40 | $501.19 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $4,786.30 | Facility | None | $2,187.76 | $2,570.40 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,548.82 Typical High $2,344.23 | Professional | None (both parts) | $1,000.00 | $1,548.82 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $758.58 Typical High $1,174.90 | Professional | 26 · Professional part | $524.81 | $758.58 | $1,174.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $776.25 Typical High $1,174.90 | Professional | TC · Technical part | $524.81 | $776.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $457.09 Typical High $2,818.38 | Facility | None | $117.49 | $457.09 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,348.96 Typical High $1,905.46 | Professional | None (both parts) | $831.76 | $1,348.96 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $707.95 Typical High $1,071.52 | Professional | 26 · Professional part | $436.52 | $707.95 | $1,071.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $588.84 Typical High $851.14 | Professional | TC · Technical part | $288.40 | $588.84 | $851.14 |
Denver HMP Setting Facility Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,412.54 | Facility | None | $891.25 | $1,096.48 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,513.56 Typical High $1,995.26 | Professional | None | $977.24 | $1,513.56 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $724.44 Typical High $977.24 | Professional | 26 · Professional part | $467.74 | $724.44 | $977.24 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $776.25 Typical High $977.24 | Professional | TC · Technical part | $501.19 | $776.25 | $977.24 |
Select Health Setting Facility Modifier None Typical Low $977.24 Median $1,819.70 Typical High $2,041.74 | Facility | None | $977.24 | $1,819.70 | $2,041.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $977.24 Typical High $2,344.23 | Professional | None (both parts) | $676.08 | $977.24 | $2,344.23 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,235.94 Typical High $3,630.78 | Facility | None | $3,019.95 | $3,235.94 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,380.38 Typical High $1,995.26 | Professional | None (both parts) | $977.24 | $1,380.38 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $741.31 Typical High $1,071.52 | Professional | 26 · Professional part | $616.60 | $741.31 | $1,071.52 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $630.96 Typical High $933.25 | Professional | TC · Technical part | $316.23 | $630.96 | $933.25 |
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 $436.52 Median $489.78 Typical High $501.19 | Professional | 52 · Reduced service | $436.52 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $194.98 Typical High $199.53 | Professional | 53 · Discontinued | $173.78 | $194.98 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $602.56 | $691.83 | $691.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $724.44 Median $794.33 Typical High $794.33 | Professional | FX · Film X-ray | $724.44 | $794.33 | $794.33 |
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· 11th of 51
$1,413
AK $3,715FL $661
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.