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 $208.93 | Facility | None | $120.23 | $162.18 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $239.88 | Professional | None (both parts) | $158.49 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $38.90 | Professional | 26 · Professional part | $28.18 | $33.88 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $208.93 | Professional | TC · Technical part | $134.90 | $173.78 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $1,071.52 | Facility | None | $489.78 | $575.44 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $575.44 | Professional | None (both parts) | $234.42 | $338.84 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $54.95 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $194.98 | $281.84 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $158.49 Typical High $1,621.81 | Facility | None | $117.49 | $158.49 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $186.21 | $288.40 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $45.71 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $245.47 Typical High $407.38 | Professional | TC · Technical part | $154.88 | $245.47 | $407.38 |
Denver HMP Setting Facility Modifier None Typical Low $208.93 Median $269.15 Typical High $338.84 | Facility | None | $208.93 | $269.15 | $338.84 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $338.84 Typical High $457.09 | Professional | None | $204.17 | $338.84 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $53.70 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $281.84 Typical High $380.19 | Professional | TC · Technical part | $173.78 | $281.84 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $398.11 Typical High $457.09 | Facility | None | $218.78 | $398.11 | $457.09 |
Select Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $204.17 Typical High $275.42 | Professional | None (both parts) | $151.36 | $204.17 | $275.42 |
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 $169.82 Median $346.74 Typical High $512.86 | Professional | None (both parts) | $169.82 | $346.74 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $30.20 | $56.23 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $288.40 Typical High $426.58 | Professional | TC · Technical part | $144.54 | $288.40 | $426.58 |
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 $81.28 Median $104.71 Typical High $125.89 | Professional | 52 · Reduced service | $81.28 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $41.69 Typical High $50.12 | Professional | 53 · Discontinued | $32.36 | $41.69 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $165.96 Typical High $199.53 | Professional | FX · Film X-ray | $147.91 | $165.96 | $199.53 |
Where Colorado sits
The same service costs 4.6 times more in Alaska 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· 14th of 51
$324
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.