How much rates vary
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 $223.87 | Facility | None | $120.23 | $162.18 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $229.09 | Professional | None (both parts) | $162.18 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $33.11 | Professional | 26 · Professional part | $26.92 | $32.36 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $199.53 | Professional | TC · Technical part | $147.91 | $190.55 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $1,071.52 | Facility | None | $489.78 | $575.44 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $616.60 | Professional | None (both parts) | $251.19 | $363.08 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $89.13 | Professional | 26 · Professional part | $36.31 | $52.48 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $316.23 Typical High $537.03 | Professional | TC · Technical part | $208.93 | $316.23 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $1,621.81 | Facility | None | $117.49 | $173.78 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $173.78 | $295.12 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $29.51 | $43.65 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $245.47 Typical High $416.87 | Professional | TC · Technical part | $144.54 | $245.47 | $416.87 |
Denver HMP Setting Facility Modifier None Typical Low $199.53 Median $229.09 Typical High $323.59 | Facility | None | $199.53 | $229.09 | $323.59 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $338.84 Typical High $457.09 | Professional | None | $204.17 | $338.84 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $50.12 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $288.40 Typical High $389.05 | Professional | TC · Technical part | $173.78 | $288.40 | $389.05 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $398.11 Typical High $457.09 | Facility | None | $213.80 | $398.11 | $457.09 |
Select Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $151.36 | $213.80 | $295.12 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $2,089.30 | Facility | None | $1,737.80 | $1,819.70 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $165.96 | $338.84 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $27.54 | $52.48 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $295.12 Typical High $446.68 | Professional | TC · Technical part | $141.25 | $295.12 | $446.68 |
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 $87.10 Median $112.20 Typical High $128.82 | Professional | 52 · Reduced service | $87.10 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $44.67 Typical High $51.29 | Professional | 53 · Discontinued | $34.67 | $44.67 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $177.83 Typical High $208.93 | Professional | FX · Film X-ray | $154.88 | $177.83 | $208.93 |
Where Colorado sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 13th of 51
$339
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.