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 $239.88 | Facility | None | $120.23 | $162.18 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $177.83 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $38.90 | Professional | 26 · Professional part | $30.20 | $37.15 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $218.78 | Professional | TC · Technical part | $158.49 | $204.17 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $616.60 Typical High $1,148.15 | Facility | None | $524.81 | $616.60 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $275.42 | $398.11 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $60.26 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $575.44 | Professional | TC · Technical part | $229.09 | $338.84 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $181.97 Typical High $1,621.81 | Facility | None | $117.49 | $181.97 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $208.93 | $331.13 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $35.48 | $48.98 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $281.84 | $457.09 |
Denver HMP Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $371.54 | Facility | None | $239.88 | $302.00 | $371.54 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $363.08 Typical High $489.78 | Professional | None | $223.87 | $363.08 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $57.54 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $186.21 | $309.03 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $426.58 Typical High $489.78 | Facility | None | $234.42 | $426.58 | $489.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $162.18 | $229.09 | $323.59 |
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 $199.53 Median $380.19 Typical High $588.84 | Professional | None (both parts) | $199.53 | $380.19 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $60.26 Typical High $93.33 | Professional | 26 · Professional part | $32.36 | $60.26 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $323.59 Typical High $489.78 | Professional | TC · Technical part | $169.82 | $323.59 | $489.78 |
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 $95.50 Median $120.23 Typical High $144.54 | Professional | 52 · Reduced service | $95.50 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $47.86 Typical High $57.54 | Professional | 53 · Discontinued | $38.02 | $47.86 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $190.55 Typical High $229.09 | Professional | FX · Film X-ray | $169.82 | $190.55 | $229.09 |
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· 13th of 51
$372
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.