How much rates vary
Facilitymedian $186 · 10th to 90th $98 to $794Professionalmedian $112 · 10th to 90th $74 to $182
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 $75.86 Median $120.23 Typical High $162.18 | Facility | None | $75.86 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $75.86 Typical High $81.28 | Professional | None (both parts) | $56.23 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $10.00 | Professional | 26 · Professional part | $7.94 | $9.55 | $10.00 |
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 $173.78 Median $204.17 Typical High $380.19 | Facility | None | $173.78 | $204.17 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $81.28 | $117.49 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $25.70 | Professional | 26 · Professional part | $10.47 | $15.14 | $25.70 |
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 $1,621.81 | Facility | None | $117.49 | $125.89 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $67.61 | $107.15 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.18 Typical High $21.88 | Professional | 26 · Professional part | $9.12 | $13.18 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $93.33 Typical High $151.36 | Professional | TC · Technical part | $58.88 | $93.33 | $151.36 |
Denver HMP Setting Facility Modifier None Typical Low $67.61 Median $102.33 Typical High $151.36 | Facility | None | $67.61 | $102.33 | $151.36 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $117.49 Typical High $158.49 | Professional | None | $72.44 | $117.49 | $158.49 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $14.79 Typical High $19.05 | Professional | 26 · Professional part | $8.71 | $14.79 | $19.05 |
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 $75.86 Median $141.25 Typical High $158.49 | Facility | None | $75.86 | $141.25 | $158.49 |
Select Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $74.13 Typical High $95.50 | Professional | None (both parts) | $53.70 | $74.13 | $95.50 |
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 $74.13 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $74.13 | $117.49 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $16.22 Typical High $23.99 | Professional | 26 · Professional part | $9.33 | $16.22 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $102.33 Typical High $154.88 | Professional | TC · Technical part | $63.10 | $102.33 | $154.88 |
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 $28.18 Median $38.02 Typical High $40.74 | Professional | 52 · Reduced service | $28.18 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $15.14 Typical High $16.60 | Professional | 53 · Discontinued | $11.22 | $15.14 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $60.26 Typical High $66.07 | Professional | FX · Film X-ray | $52.48 | $60.26 | $66.07 |
Where Colorado sits
The same service costs 7.2 times more in Alabama than in Texas. 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
$117
AL $479TX $66.07
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.