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 $194.98 | Facility | None | $120.23 | $162.18 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $199.53 | Professional | None (both parts) | $147.91 | $194.98 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $38.90 | Professional | 26 · Professional part | $30.90 | $38.02 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $162.18 | Professional | TC · Technical part | $117.49 | $154.88 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $512.86 Typical High $954.99 | Facility | None | $436.52 | $512.86 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $213.80 | $309.03 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $40.74 | $60.26 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $173.78 | $251.19 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $416.87 Typical High $2,187.76 | Facility | None | $117.49 | $416.87 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $173.78 | $281.84 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $51.29 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $213.80 Typical High $346.74 | Professional | TC · Technical part | $141.25 | $213.80 | $346.74 |
Denver HMP Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $323.59 | Facility | None | $194.98 | $257.04 | $323.59 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $302.00 Typical High $389.05 | Professional | None | $181.97 | $302.00 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $58.88 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $239.88 Typical High $316.23 | Professional | TC · Technical part | $147.91 | $239.88 | $316.23 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $407.38 | Facility | None | $190.55 | $354.81 | $407.38 |
Select Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $186.21 Typical High $251.19 | Professional | None (both parts) | $134.90 | $186.21 | $251.19 |
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 $186.21 Median $309.03 Typical High $467.74 | Professional | None (both parts) | $186.21 | $309.03 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $33.88 | $61.66 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $245.47 Typical High $354.81 | Professional | TC · Technical part | $154.88 | $245.47 | $354.81 |
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 $74.13 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $74.13 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $38.90 Typical High $44.67 | Professional | 53 · Discontinued | $29.51 | $38.90 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $154.88 Typical High $177.83 | Professional | FX · Film X-ray | $134.90 | $154.88 | $177.83 |
Where Colorado sits
The same service costs 4.7 times more in Alaska 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· 12th of 51
$302
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.