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 $109.65 Median $120.23 Typical High $162.18 | Facility | None | $109.65 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $109.65 Typical High $120.23 | Professional | None (both parts) | $83.18 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $22.39 | Professional | 26 · Professional part | $17.78 | $21.38 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $93.33 | Professional | TC · Technical part | $66.07 | $89.13 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $549.54 | Facility | None | $251.19 | $295.12 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $295.12 | Professional | None (both parts) | $120.23 | $173.78 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $33.88 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $239.88 | Professional | TC · Technical part | $97.72 | $141.25 | $239.88 |
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 $100.00 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $100.00 | $158.49 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.84 Typical High $50.12 | Professional | 26 · Professional part | $20.42 | $28.84 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $79.43 | $128.82 | $204.17 |
Denver HMP Setting Facility Modifier None Typical Low $100.00 Median $158.49 Typical High $223.87 | Facility | None | $100.00 | $158.49 | $223.87 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $169.82 Typical High $229.09 | Professional | None | $104.71 | $169.82 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $19.50 | $32.36 | $43.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $85.11 | $138.04 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $204.17 Typical High $229.09 | Facility | None | $109.65 | $204.17 | $229.09 |
Select Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $77.62 | $107.15 | $141.25 |
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 $112.20 Median $173.78 Typical High $257.04 | Professional | None (both parts) | $112.20 | $173.78 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $35.48 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $141.25 | $199.53 |
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 $41.69 Median $54.95 Typical High $60.26 | Professional | 52 · Reduced service | $41.69 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $21.88 Typical High $24.55 | Professional | 53 · Discontinued | $16.60 | $21.88 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $89.13 Typical High $97.72 | Professional | FX · Film X-ray | $77.62 | $89.13 | $97.72 |
Where Colorado sits
The same service costs 5.1 times more in Alabama 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· 14th of 51
$174
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.