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 $426.58 | Facility | None | $120.23 | $162.18 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $426.58 Typical High $446.68 | Professional | None (both parts) | $309.03 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $37.15 | Professional | 26 · Professional part | $29.51 | $36.31 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $389.05 Typical High $426.58 | Professional | TC · Technical part | $302.00 | $389.05 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,096.48 Typical High $2,041.74 | Facility | None | $933.25 | $1,096.48 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $707.95 Typical High $1,202.26 | Professional | None (both parts) | $478.63 | $707.95 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $39.81 | $57.54 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $645.65 Typical High $1,096.48 | Professional | TC · Technical part | $436.52 | $645.65 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $354.81 Typical High $5,248.07 | Facility | None | $117.49 | $354.81 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $588.84 Typical High $954.99 | Professional | None (both parts) | $346.74 | $588.84 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $48.98 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $524.81 Typical High $891.25 | Professional | TC · Technical part | $316.23 | $524.81 | $891.25 |
Denver HMP Setting Facility Modifier None Typical Low $380.19 Median $446.68 Typical High $630.96 | Facility | None | $380.19 | $446.68 | $630.96 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $851.14 | Professional | None | $389.05 | $645.65 | $851.14 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $54.95 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $588.84 Typical High $794.33 | Professional | TC · Technical part | $354.81 | $588.84 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $407.38 Median $758.58 Typical High $851.14 | Facility | None | $407.38 | $758.58 | $851.14 |
Select Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $407.38 Typical High $575.44 | Professional | None (both parts) | $288.40 | $407.38 | $575.44 |
United Setting Facility Modifier None Typical Low $5,623.41 Median $5,888.44 Typical High $6,760.83 | Facility | None | $5,623.41 | $5,888.44 | $6,760.83 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $660.69 Typical High $1,047.13 | Professional | None (both parts) | $323.59 | $660.69 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $30.20 | $57.54 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $616.60 Typical High $954.99 | Professional | TC · Technical part | $309.03 | $616.60 | $954.99 |
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 $165.96 Median $213.80 Typical High $257.04 | Professional | 52 · Reduced service | $165.96 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $67.61 | $85.11 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $338.84 Typical High $416.87 | Professional | FX · Film X-ray | $295.12 | $338.84 | $416.87 |
Where Colorado sits
The same service costs 4.6 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· 14th of 51
$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.