How much rates vary
Facilitymedian $525 · 10th to 90th $162 to $1,072Professionalmedian $331 · 10th to 90th $219 to $537
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 $218.78 | Facility | None | $120.23 | $162.18 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $173.78 | $218.78 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $46.77 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $316.23 | Professional | TC · Technical part | $138.04 | $173.78 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $588.84 Typical High $1,071.52 | Facility | None | $489.78 | $588.84 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $363.08 Typical High $616.60 | Professional | None (both parts) | $245.47 | $363.08 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $74.13 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $288.40 Typical High $489.78 | Professional | TC · Technical part | $194.98 | $288.40 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $1,621.81 | Facility | None | $117.49 | $154.88 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $213.80 | $302.00 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $43.65 | $61.66 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $169.82 | $239.88 | $398.11 |
Denver HMP Setting Facility Modifier None Typical Low $218.78 Median $316.23 Typical High $446.68 | Facility | None | $218.78 | $316.23 | $446.68 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $338.84 Typical High $457.09 | Professional | None | $208.93 | $338.84 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $70.79 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $269.15 Typical High $363.08 | Professional | TC · Technical part | $165.96 | $269.15 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $407.38 Typical High $457.09 | Facility | None | $218.78 | $407.38 | $457.09 |
Select Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $151.36 | $213.80 | $295.12 |
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 $218.78 Median $363.08 Typical High $549.54 | Professional | None (both parts) | $218.78 | $363.08 | $549.54 |
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 $177.83 Median $288.40 Typical High $416.87 | Professional | TC · Technical part | $177.83 | $288.40 | $416.87 |
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 $87.10 Median $109.65 Typical High $131.83 | Professional | 52 · Reduced service | $87.10 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $52.48 | Professional | 53 · Discontinued | $34.67 | $43.65 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $173.78 Typical High $208.93 | Professional | FX · Film X-ray | $154.88 | $173.78 | $208.93 |
Where Colorado sits
The same service costs 3.5 times more in Wisconsin 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· 14th of 51
$347
WI $676TX $191
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.