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 $165.96 | Facility | None | $120.23 | $162.18 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $177.83 | Professional | None (both parts) | $128.82 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $38.02 | Professional | 26 · Professional part | $30.20 | $36.31 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $141.25 | Professional | TC · Technical part | $104.71 | $128.82 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $467.74 Typical High $870.96 | Facility | None | $398.11 | $467.74 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $181.97 | $263.03 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $38.90 | $57.54 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $346.74 | Professional | TC · Technical part | $141.25 | $204.17 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $2,187.76 | Facility | None | $117.49 | $125.89 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $147.91 | $239.88 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $34.67 | $51.29 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $181.97 Typical High $323.59 | Professional | TC · Technical part | $114.82 | $181.97 | $323.59 |
Denver HMP Setting Facility Modifier None Typical Low $165.96 Median $208.93 Typical High $288.40 | Facility | None | $165.96 | $208.93 | $288.40 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $269.15 Typical High $371.54 | Professional | None | $165.96 | $269.15 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $56.23 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $213.80 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $213.80 | $295.12 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $323.59 Typical High $371.54 | Facility | None | $177.83 | $323.59 | $371.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $123.03 | $162.18 | $213.80 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $2,818.38 | Facility | None | $2,344.23 | $2,511.89 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $147.91 | $275.42 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $31.62 | $58.88 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $218.78 Typical High $323.59 | Professional | TC · Technical part | $120.23 | $218.78 | $323.59 |
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 $66.07 Median $83.18 Typical High $102.33 | Professional | 52 · Reduced service | $66.07 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $33.11 Typical High $40.74 | Professional | 53 · Discontinued | $26.92 | $33.11 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $131.83 Typical High $162.18 | Professional | FX · Film X-ray | $114.82 | $131.83 | $162.18 |
Where Colorado sits
The same service costs 4.8 times more in Alabama 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· 15th of 51
$263
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.