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 $331.13 | Facility | None | $120.23 | $162.18 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $263.03 | $331.13 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $42.66 | $46.77 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $288.40 Typical High $467.74 | Professional | TC · Technical part | $223.87 | $288.40 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $870.96 Typical High $1,584.89 | Facility | None | $724.44 | $870.96 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $549.54 Typical High $933.25 | Professional | None (both parts) | $380.19 | $549.54 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $147.91 | Professional | 26 · Professional part | $51.29 | $74.13 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $478.63 Typical High $812.83 | Professional | TC · Technical part | $323.59 | $478.63 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $257.04 Typical High $1,621.81 | Facility | None | $117.49 | $257.04 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $281.84 | $457.09 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $44.67 | $63.10 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $398.11 Typical High $660.69 | Professional | TC · Technical part | $239.88 | $398.11 | $660.69 |
Denver HMP Setting Facility Modifier None Typical Low $331.13 Median $398.11 Typical High $512.86 | Facility | None | $331.13 | $398.11 | $512.86 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $512.86 Typical High $676.08 | Professional | None | $309.03 | $512.86 | $676.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $72.44 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $436.52 Typical High $575.44 | Professional | TC · Technical part | $263.03 | $436.52 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $323.59 Median $602.56 Typical High $676.08 | Facility | None | $323.59 | $602.56 | $676.08 |
Select Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $323.59 Typical High $446.68 | Professional | None (both parts) | $223.87 | $323.59 | $446.68 |
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 $275.42 Median $549.54 Typical High $831.76 | Professional | None (both parts) | $275.42 | $549.54 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $40.74 | $75.86 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $467.74 Typical High $691.83 | Professional | TC · Technical part | $234.42 | $467.74 | $691.83 |
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 $131.83 Median $165.96 Typical High $199.53 | Professional | 52 · Reduced service | $131.83 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $66.07 Typical High $81.28 | Professional | 53 · Discontinued | $52.48 | $66.07 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $269.15 Typical High $323.59 | Professional | FX · Film X-ray | $234.42 | $269.15 | $323.59 |
Where Colorado sits
The same service costs 3.8 times more in Alaska 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· 13th of 51
$513
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.