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 $162.18 | Facility | None | $120.23 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $173.78 | Professional | None (both parts) | $125.89 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $16.98 | Professional | 26 · Professional part | $13.80 | $16.60 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $147.91 Typical High $158.49 | Professional | TC · Technical part | $114.82 | $147.91 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $436.52 Typical High $812.83 | Facility | None | $371.54 | $436.52 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $181.97 | $269.15 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $26.30 Typical High $44.67 | Professional | 26 · Professional part | $17.78 | $26.30 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $239.88 Typical High $407.38 | Professional | TC · Technical part | $162.18 | $239.88 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $346.74 Typical High $1,621.81 | Facility | None | $117.49 | $346.74 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $144.54 | $223.87 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $38.90 | Professional | 26 · Professional part | $15.49 | $22.39 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $204.17 Typical High $346.74 | Professional | TC · Technical part | $131.83 | $204.17 | $346.74 |
Denver HMP Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $302.00 | Facility | None | $162.18 | $204.17 | $302.00 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $338.84 | Professional | None | $154.88 | $251.19 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $25.12 Typical High $33.11 | Professional | 26 · Professional part | $15.14 | $25.12 | $33.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $229.09 Typical High $309.03 | Professional | TC · Technical part | $141.25 | $229.09 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $302.00 Typical High $338.84 | Facility | None | $162.18 | $302.00 | $338.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $114.82 | $158.49 | $218.78 |
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 $141.25 Median $269.15 Typical High $407.38 | Professional | None (both parts) | $141.25 | $269.15 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $16.60 | $27.54 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $251.19 Typical High $363.08 | Professional | TC · Technical part | $131.83 | $251.19 | $363.08 |
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 $64.57 Median $81.28 Typical High $97.72 | Professional | 52 · Reduced service | $64.57 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $32.36 Typical High $39.81 | Professional | 53 · Discontinued | $25.70 | $32.36 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $131.83 Typical High $158.49 | Professional | FX · Film X-ray | $114.82 | $131.83 | $158.49 |
Where Colorado sits
The same service costs 4.5 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
$257
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.