How much rates vary
Facilitymedian $1,995 · 10th to 90th $126 to $3,467Professionalmedian $2,239 · 10th to 90th $871 to $5,012
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 $1,288.25 Median $1,288.25 Typical High $2,511.89 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $100.00 Typical High $263.03 | Professional | 26 · Professional part | $95.50 | $100.00 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,202.26 Typical High $2,238.72 | Professional | TC · Technical part | $1,122.02 | $1,202.26 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $3,162.28 Typical High $5,754.40 | Professional | None (both parts) | $1,380.38 | $3,162.28 | $5,754.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $138.04 Typical High $229.09 | Professional | 26 · Professional part | $93.33 | $138.04 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $3,090.30 Typical High $5,623.41 | Professional | TC · Technical part | $1,348.96 | $3,090.30 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $416.87 | Facility | None | $117.49 | $123.03 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $812.83 Typical High $2,187.76 | Professional | None (both parts) | $489.78 | $812.83 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $91.20 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $91.20 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $660.69 Typical High $1,905.46 | Professional | TC · Technical part | $407.38 | $660.69 | $1,905.46 |
Denver HMP Setting Facility Modifier None Typical Low $489.78 Median $1,288.25 Typical High $1,995.26 | Facility | None | $489.78 | $1,288.25 | $1,995.26 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $2,454.71 Typical High $3,311.31 | Professional | None | $1,513.56 | $2,454.71 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $138.04 Typical High $323.59 | Professional | 26 · Professional part | $79.43 | $138.04 | $323.59 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $2,398.83 Typical High $3,235.94 | Professional | TC · Technical part | $1,479.11 | $2,398.83 | $3,235.94 |
Select Health Setting Facility Modifier None Typical Low $1,621.81 Median $3,019.95 Typical High $3,467.37 | Facility | None | $1,621.81 | $3,019.95 | $3,467.37 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,513.56 Typical High $1,621.81 | Professional | None (both parts) | $1,148.15 | $1,513.56 | $1,621.81 |
United Setting Facility Modifier None Typical Low $6,165.95 Median $6,606.93 Typical High $7,413.10 | Facility | None | $6,165.95 | $6,606.93 | $7,413.10 |
United Setting Professional Modifier None (both parts) Typical Low $758.58 Median $2,454.71 Typical High $3,467.37 | Professional | None (both parts) | $758.58 | $2,454.71 | $3,467.37 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $141.25 Typical High $208.93 | Professional | 26 · Professional part | $81.28 | $141.25 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $2,290.87 Typical High $3,235.94 | Professional | TC · Technical part | $676.08 | $2,290.87 | $3,235.94 |
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 $1,202.26 | Professional | FX · Film X-ray | $1,047.13 | $1,047.13 | $1,202.26 |
Where Colorado sits
The same service costs 15.1 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
$2,239
NE $3,090WA $204
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.