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 $190.55 | Facility | None | $120.23 | $162.18 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $144.54 | $190.55 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $19.05 | $23.44 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $275.42 | Professional | TC · Technical part | $128.82 | $169.82 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $501.19 Typical High $933.25 | Facility | None | $426.58 | $501.19 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $309.03 Typical High $537.03 | Professional | None (both parts) | $213.80 | $309.03 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $25.70 | $37.15 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $275.42 Typical High $467.74 | Professional | TC · Technical part | $186.21 | $275.42 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $151.36 Typical High $1,621.81 | Facility | None | $117.49 | $151.36 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $158.49 | $263.03 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $30.90 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $380.19 | Professional | TC · Technical part | $134.90 | $223.87 | $380.19 |
Denver HMP Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $288.40 | Facility | None | $186.21 | $234.42 | $288.40 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $295.12 Typical High $398.11 | Professional | None | $177.83 | $295.12 | $398.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $21.88 | $36.31 | $47.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $257.04 Typical High $346.74 | Professional | TC · Technical part | $158.49 | $257.04 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $186.21 Median $346.74 Typical High $398.11 | Facility | None | $186.21 | $346.74 | $398.11 |
Select Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $251.19 | Professional | None (both parts) | $131.83 | $186.21 | $251.19 |
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 $154.88 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $154.88 | $302.00 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $20.42 | $38.02 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $269.15 Typical High $398.11 | Professional | TC · Technical part | $131.83 | $269.15 | $398.11 |
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 $74.13 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $74.13 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $29.51 | $38.02 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $154.88 Typical High $181.97 | Professional | FX · Film X-ray | $134.90 | $154.88 | $181.97 |
Where Colorado sits
The same service costs 4.6 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· 14th of 51
$295
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.