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 $416.87 Typical High $660.69 | Facility | None | $120.23 | $416.87 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $331.13 Typical High $575.44 | Professional | None (both parts) | $269.15 | $331.13 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $48.98 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $223.87 | $281.84 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $851.14 Typical High $1,584.89 | Facility | None | $724.44 | $851.14 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $549.54 Typical High $933.25 | Professional | None (both parts) | $371.54 | $549.54 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $151.36 | Professional | 26 · Professional part | $53.70 | $77.62 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $467.74 Typical High $794.33 | Professional | TC · Technical part | $316.23 | $467.74 | $794.33 |
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 $741.31 | Professional | None (both parts) | $281.84 | $457.09 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $64.57 | $104.71 |
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 $389.05 Typical High $512.86 | Facility | None | $331.13 | $389.05 | $512.86 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $512.86 Typical High $676.08 | Professional | None | $302.00 | $512.86 | $676.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $74.13 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $575.44 | Professional | TC · Technical part | $257.04 | $436.52 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $323.59 Median $588.84 Typical High $676.08 | Facility | None | $323.59 | $588.84 | $676.08 |
Select Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $223.87 | $316.23 | $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 $269.15 Median $549.54 Typical High $831.76 | Professional | None (both parts) | $269.15 | $549.54 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $41.69 | $79.43 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $467.74 Typical High $691.83 | Professional | TC · Technical part | $229.09 | $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 $79.43 | Professional | 53 · Discontinued | $52.48 | $66.07 | $79.43 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $263.03 Typical High $323.59 | Professional | FX · Film X-ray | $234.42 | $263.03 | $323.59 |
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· 12th 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.