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 $173.78 | Facility | None | $120.23 | $162.18 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $173.78 Typical High $177.83 | Professional | None (both parts) | $128.82 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $22.91 | Professional | 26 · Professional part | $17.78 | $21.88 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $158.49 | Professional | TC · Technical part | $117.49 | $151.36 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $446.68 Typical High $831.76 | Facility | None | $380.19 | $446.68 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $194.98 | $281.84 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $34.67 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $245.47 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $245.47 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $1,621.81 | Facility | None | $117.49 | $138.04 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $134.90 | $229.09 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $19.95 | $28.84 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $194.98 Typical High $331.13 | Professional | TC · Technical part | $114.82 | $194.98 | $331.13 |
Denver HMP Setting Facility Modifier None Typical Low $154.88 Median $181.97 Typical High $245.47 | Facility | None | $154.88 | $181.97 | $245.47 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $346.74 | Professional | None | $158.49 | $263.03 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.11 Typical High $44.67 | Professional | 26 · Professional part | $20.42 | $33.11 | $44.67 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $229.09 Typical High $302.00 | Professional | TC · Technical part | $138.04 | $229.09 | $302.00 |
Select Health Setting Facility Modifier None Typical Low $165.96 Median $309.03 Typical High $346.74 | Facility | None | $165.96 | $309.03 | $346.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $117.49 | $165.96 | $229.09 |
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 $257.04 Typical High $416.87 | Professional | None (both parts) | $125.89 | $257.04 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $18.20 | $33.88 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $229.09 Typical High $354.81 | Professional | TC · Technical part | $109.65 | $229.09 | $354.81 |
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 $67.61 Median $87.10 Typical High $100.00 | Professional | 52 · Reduced service | $67.61 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $34.67 Typical High $40.74 | Professional | 53 · Discontinued | $26.92 | $34.67 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $138.04 Typical High $162.18 | Professional | FX · Film X-ray | $120.23 | $138.04 | $162.18 |
Where Colorado sits
The same service costs 4.7 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
$263
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.