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 $229.09 | Facility | None | $120.23 | $162.18 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $245.47 | Professional | None (both parts) | $173.78 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $72.44 | Professional | 26 · Professional part | $56.23 | $69.18 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $173.78 | Professional | TC · Technical part | $125.89 | $162.18 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $616.60 Typical High $1,148.15 | Facility | None | $524.81 | $616.60 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $707.95 | Professional | None (both parts) | $263.03 | $380.19 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $109.65 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $269.15 Typical High $524.81 | Professional | TC · Technical part | $186.21 | $269.15 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $144.54 Typical High $2,187.76 | Facility | None | $117.49 | $144.54 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $346.74 Typical High $562.34 | Professional | None (both parts) | $229.09 | $346.74 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $66.07 | $91.20 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $162.18 | $239.88 | $398.11 |
Denver HMP Setting Facility Modifier None Typical Low $229.09 Median $331.13 Typical High $537.03 | Facility | None | $229.09 | $331.13 | $537.03 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $354.81 Typical High $478.63 | Professional | None | $218.78 | $354.81 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $64.57 | $107.15 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $251.19 Typical High $338.84 | Professional | TC · Technical part | $154.88 | $251.19 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $426.58 Typical High $478.63 | Facility | None | $229.09 | $426.58 | $478.63 |
Select Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $309.03 | Professional | None (both parts) | $162.18 | $223.87 | $309.03 |
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 $275.42 Median $389.05 Typical High $588.84 | Professional | None (both parts) | $275.42 | $389.05 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $64.57 | $112.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $398.11 | Professional | TC · Technical part | $190.55 | $281.84 | $398.11 |
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 $91.20 Median $114.82 Typical High $138.04 | Professional | 52 · Reduced service | $91.20 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $45.71 Typical High $54.95 | Professional | 53 · Discontinued | $36.31 | $45.71 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $186.21 Typical High $223.87 | Professional | FX · Film X-ray | $165.96 | $186.21 | $223.87 |
Where Colorado sits
The same service costs 5.0 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· 18th of 51
$380
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.