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 $371.54 Typical High $524.81 | Facility | None | $162.18 | $371.54 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $251.19 | $316.23 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $38.02 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $275.42 Typical High $501.19 | Professional | TC · Technical part | $218.78 | $275.42 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $812.83 Typical High $1,513.56 | Facility | None | $691.83 | $812.83 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $524.81 Typical High $891.25 | Professional | None (both parts) | $354.81 | $524.81 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $117.49 | Professional | 26 · Professional part | $41.69 | $60.26 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $457.09 Typical High $794.33 | Professional | TC · Technical part | $309.03 | $457.09 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $251.19 Typical High $1,621.81 | Facility | None | $117.49 | $251.19 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $416.87 Typical High $691.83 | Professional | None (both parts) | $234.42 | $416.87 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $34.67 | $50.12 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $363.08 Typical High $630.96 | Professional | TC · Technical part | $199.53 | $363.08 | $630.96 |
Denver HMP Setting Facility Modifier None Typical Low $281.84 Median $338.84 Typical High $446.68 | Facility | None | $281.84 | $338.84 | $446.68 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $489.78 Typical High $645.65 | Professional | None | $288.40 | $489.78 | $645.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $57.54 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $426.58 Typical High $562.34 | Professional | TC · Technical part | $257.04 | $426.58 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $309.03 Median $562.34 Typical High $645.65 | Facility | None | $309.03 | $562.34 | $645.65 |
Select Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $213.80 | $302.00 | $426.58 |
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 $229.09 Median $489.78 Typical High $794.33 | Professional | None (both parts) | $229.09 | $489.78 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $31.62 | $61.66 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $436.52 Typical High $676.08 | Professional | TC · Technical part | $194.98 | $436.52 | $676.08 |
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 $123.03 Median $158.49 Typical High $190.55 | Professional | 52 · Reduced service | $123.03 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $63.10 Typical High $77.62 | Professional | 53 · Discontinued | $50.12 | $63.10 | $77.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $251.19 Typical High $309.03 | Professional | FX · Film X-ray | $223.87 | $251.19 | $309.03 |
Where Colorado sits
The same service costs 3.5 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· 12th of 51
$479
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.