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 $131.83 Typical High $162.18 | Facility | None | $120.23 | $131.83 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $141.25 | Professional | None (both parts) | $100.00 | $131.83 | $141.25 |
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 $79.43 Median $107.15 Typical High $112.20 | Professional | TC · Technical part | $79.43 | $107.15 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $354.81 Typical High $660.69 | Facility | None | $302.00 | $354.81 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $144.54 | $208.93 | $407.38 |
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 $114.82 Median $169.82 Typical High $331.13 | Professional | TC · Technical part | $114.82 | $169.82 | $331.13 |
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 $120.23 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $120.23 | $190.55 | $389.05 |
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 $95.50 Median $151.36 Typical High $302.00 | Professional | TC · Technical part | $95.50 | $151.36 | $302.00 |
Denver HMP Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $354.81 | Facility | None | $120.23 | $190.55 | $354.81 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $281.84 | Professional | None | $125.89 | $208.93 | $281.84 |
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 $104.71 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $104.71 | $169.82 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $245.47 Typical High $281.84 | Facility | None | $134.90 | $245.47 | $281.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $93.33 | $128.82 | $169.82 |
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 $151.36 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $151.36 | $218.78 | $316.23 |
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 $125.89 Median $181.97 Typical High $263.03 | Professional | TC · Technical part | $125.89 | $181.97 | $263.03 |
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 $50.12 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $50.12 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $19.95 | $26.30 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $104.71 Typical High $114.82 | Professional | FX · Film X-ray | $93.33 | $104.71 | $114.82 |
Where Colorado sits
The same service costs 5.2 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· 22nd of 51
$209
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.