How much rates vary
Facilitymedian $282 · 10th to 90th $117 to $794Professionalmedian $174 · 10th to 90th $115 to $282
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 $114.82 Median $120.23 Typical High $162.18 | Facility | None | $114.82 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $89.13 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $26.30 | Professional | 26 · Professional part | $20.42 | $24.55 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $95.50 | Professional | TC · Technical part | $67.61 | $91.20 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $309.03 Typical High $575.44 | Facility | None | $263.03 | $309.03 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $125.89 | $186.21 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $39.81 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $275.42 | Professional | TC · Technical part | $100.00 | $144.54 | $275.42 |
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 $107.15 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $107.15 | $165.96 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $33.88 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $131.83 Typical High $223.87 | Professional | TC · Technical part | $83.18 | $131.83 | $223.87 |
Denver HMP Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $251.19 | Facility | None | $104.71 | $165.96 | $251.19 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $177.83 Typical High $239.88 | Professional | None | $109.65 | $177.83 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $22.91 | $38.02 | $50.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $141.25 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $141.25 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $213.80 Typical High $239.88 | Facility | None | $114.82 | $213.80 | $239.88 |
Select Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $112.20 Typical High $147.91 | Professional | None (both parts) | $81.28 | $112.20 | $147.91 |
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 $125.89 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $125.89 | $186.21 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $41.69 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $144.54 | $199.53 |
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 $44.67 Median $57.54 Typical High $64.57 | Professional | 52 · Reduced service | $44.67 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $23.44 Typical High $25.70 | Professional | 53 · Discontinued | $17.78 | $23.44 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $93.33 Typical High $102.33 | Professional | FX · Film X-ray | $83.18 | $93.33 | $102.33 |
Where Colorado sits
The same service costs 4.6 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· 20th of 51
$182
AL $479TX $105
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.