How much rates vary
Facilitymedian $182 · 10th to 90th $83 to $2,570Professionalmedian $107 · 10th to 90th $68 to $178
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 $74.13 Median $120.23 Typical High $162.18 | Facility | None | $74.13 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $74.13 Typical High $79.43 | Professional | None (both parts) | $54.95 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.94 Typical High $8.13 | Professional | 26 · Professional part | $6.61 | $7.94 | $8.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $69.18 | Professional | TC · Technical part | $48.98 | $66.07 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $199.53 Typical High $371.54 | Facility | None | $169.82 | $199.53 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $79.43 | $114.82 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $21.38 | Professional | 26 · Professional part | $8.71 | $12.59 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $70.79 | $104.71 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $5,248.07 | Facility | None | $117.49 | $125.89 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $64.57 | $102.33 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.96 Typical High $18.62 | Professional | 26 · Professional part | $7.41 | $10.96 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $57.54 | $93.33 | $162.18 |
Denver HMP Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $123.03 | Facility | None | $66.07 | $93.33 | $123.03 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $114.82 Typical High $158.49 | Professional | None | $70.79 | $114.82 | $158.49 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $7.41 | $12.02 | $16.22 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $104.71 | $141.25 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $138.04 Typical High $158.49 | Facility | None | $74.13 | $138.04 | $158.49 |
Select Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $70.79 Typical High $93.33 | Professional | None (both parts) | $52.48 | $70.79 | $93.33 |
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 $58.88 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $58.88 | $114.82 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $13.18 Typical High $19.50 | Professional | 26 · Professional part | $8.13 | $13.18 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $53.70 | $102.33 | $158.49 |
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 $27.54 Median $37.15 Typical High $39.81 | Professional | 52 · Reduced service | $27.54 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $14.79 Typical High $15.85 | Professional | 53 · Discontinued | $10.96 | $14.79 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $58.88 Typical High $64.57 | Professional | FX · Film X-ray | $51.29 | $58.88 | $64.57 |
Where Colorado sits
The same service costs 8.1 times more in Alabama than in Indiana. 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· 15th of 51
$115
AL $513IN $63.10
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.