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 $162.18 Median $426.58 Typical High $562.34 | Facility | None | $162.18 | $426.58 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $338.84 Typical High $588.84 | Professional | None (both parts) | $288.40 | $338.84 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $51.29 | $56.23 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $234.42 | $281.84 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $870.96 Typical High $1,621.81 | Facility | None | $741.31 | $870.96 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $562.34 Typical High $954.99 | Professional | None (both parts) | $380.19 | $562.34 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $89.13 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $467.74 Typical High $794.33 | Professional | TC · Technical part | $316.23 | $467.74 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $257.04 Typical High $2,187.76 | Facility | None | $117.49 | $257.04 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $467.74 Typical High $776.25 | Professional | None (both parts) | $288.40 | $467.74 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $75.86 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $398.11 Typical High $660.69 | Professional | TC · Technical part | $234.42 | $398.11 | $660.69 |
Denver HMP Setting Facility Modifier None Typical Low $323.59 Median $371.54 Typical High $524.81 | Facility | None | $323.59 | $371.54 | $524.81 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $512.86 Typical High $691.83 | Professional | None | $309.03 | $512.86 | $691.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $87.10 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $426.58 Typical High $575.44 | Professional | TC · Technical part | $263.03 | $426.58 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $691.83 | Facility | None | $331.13 | $602.56 | $691.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $229.09 | $323.59 | $457.09 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $2,818.38 | Facility | None | $2,344.23 | $2,511.89 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $562.34 Typical High $851.14 | Professional | None (both parts) | $269.15 | $562.34 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $48.98 | $91.20 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $467.74 Typical High $691.83 | Professional | TC · Technical part | $229.09 | $467.74 | $691.83 |
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 $134.90 Median $169.82 Typical High $204.17 | Professional | 52 · Reduced service | $134.90 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $67.61 Typical High $81.28 | Professional | 53 · Discontinued | $53.70 | $67.61 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $269.15 Typical High $331.13 | Professional | FX · Film X-ray | $239.88 | $269.15 | $331.13 |
Where Colorado sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 16th of 51
$513
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.