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 $83.18 Median $120.23 Typical High $162.18 | Facility | None | $83.18 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $83.18 Typical High $144.54 | Professional | None (both parts) | $64.57 | $83.18 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $26.92 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $56.23 Typical High $102.33 | Professional | TC · Technical part | $41.69 | $56.23 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $218.78 Typical High $407.38 | Facility | None | $186.21 | $218.78 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $93.33 | $131.83 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $29.51 | $42.66 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $151.36 | Professional | TC · Technical part | $61.66 | $89.13 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $125.89 | Facility | None | $117.49 | $123.03 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $74.13 | $114.82 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $25.70 | $35.48 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $79.43 Typical High $125.89 | Professional | TC · Technical part | $47.86 | $79.43 | $125.89 |
Denver HMP Setting Facility Modifier None Typical Low $79.43 Median $107.15 Typical High $128.82 | Facility | None | $79.43 | $107.15 | $128.82 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $128.82 Typical High $173.78 | Professional | None | $79.43 | $128.82 | $173.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $40.74 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $53.70 | $87.10 | $117.49 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $173.78 | Facility | None | $83.18 | $154.88 | $173.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $81.28 Typical High $107.15 | Professional | None (both parts) | $57.54 | $81.28 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $75.86 | $131.83 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $24.55 | $43.65 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $51.29 | $87.10 | $128.82 |
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 $31.62 Median $41.69 Typical High $47.86 | Professional | 52 · Reduced service | $31.62 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $16.60 Typical High $19.05 | Professional | 53 · Discontinued | $12.59 | $16.60 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $66.07 Typical High $75.86 | Professional | FX · Film X-ray | $60.26 | $66.07 | $75.86 |
Where Colorado sits
The same service costs 4.6 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
$129
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.