How much rates vary
Facilitymedian $1,862 · 10th to 90th $126 to $3,467Professionalmedian $2,042 · 10th to 90th $776 to $4,467
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 $2,691.53 Typical High $3,467.37 | Facility | None | $162.18 | $2,691.53 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,288.25 Typical High $2,818.38 | Professional | None (both parts) | $1,000.00 | $1,288.25 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $95.50 | $100.00 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,202.26 Typical High $2,238.72 | Professional | TC · Technical part | $870.96 | $1,202.26 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $2,818.38 Typical High $5,128.61 | Professional | None (both parts) | $1,258.93 | $2,818.38 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $117.49 Typical High $199.53 | Professional | 26 · Professional part | $81.28 | $117.49 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $2,754.23 Typical High $5,011.87 | Professional | TC · Technical part | $1,230.27 | $2,754.23 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $338.84 | Facility | None | $117.49 | $123.03 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $645.65 Typical High $1,819.70 | Professional | None (both parts) | $389.05 | $645.65 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $151.36 | Professional | 26 · Professional part | $66.07 | $77.62 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $467.74 Typical High $1,698.24 | Professional | TC · Technical part | $323.59 | $467.74 | $1,698.24 |
Denver HMP Setting Facility Modifier None Typical Low $380.19 Median $1,288.25 Typical High $1,862.09 | Facility | None | $380.19 | $1,288.25 | $1,862.09 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $2,238.72 Typical High $3,019.95 | Professional | None | $1,348.96 | $2,238.72 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $117.49 Typical High $281.84 | Professional | 26 · Professional part | $69.18 | $117.49 | $281.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $2,238.72 Typical High $2,951.21 | Professional | TC · Technical part | $1,348.96 | $2,238.72 | $2,951.21 |
Select Health Setting Facility Modifier None Typical Low $1,479.11 Median $2,754.23 Typical High $3,090.30 | Facility | None | $1,479.11 | $2,754.23 | $3,090.30 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,047.13 Typical High $1,479.11 | Professional | None (both parts) | $1,023.29 | $1,047.13 | $1,479.11 |
United Setting Facility Modifier None Typical Low $5,623.41 Median $5,888.44 Typical High $6,760.83 | Facility | None | $5,623.41 | $5,888.44 | $6,760.83 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $2,187.76 Typical High $3,090.30 | Professional | None (both parts) | $1,230.27 | $2,187.76 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $117.49 Typical High $181.97 | Professional | 26 · Professional part | $63.10 | $117.49 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $2,089.30 Typical High $2,884.03 | Professional | TC · Technical part | $1,230.27 | $2,089.30 | $2,884.03 |
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 $501.19 Median $645.65 Typical High $758.58 | Professional | 52 · Reduced service | $501.19 | $645.65 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $257.04 Typical High $302.00 | Professional | 53 · Discontinued | $199.53 | $257.04 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,047.13 Median $1,047.13 Typical High $1,148.15 | Professional | FX · Film X-ray | $1,047.13 | $1,047.13 | $1,148.15 |
Where Colorado sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 5th of 51
$2,042
NE $2,512WA $575
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.