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 $223.87 | Facility | None | $120.23 | $162.18 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $165.96 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $63.10 | Professional | 26 · Professional part | $45.71 | $56.23 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $199.53 | Professional | TC · Technical part | $128.82 | $165.96 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $588.84 Typical High $1,096.48 | Facility | None | $501.19 | $588.84 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $616.60 | Professional | None (both parts) | $251.19 | $363.08 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $89.13 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $275.42 Typical High $489.78 | Professional | TC · Technical part | $186.21 | $275.42 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $151.36 Typical High $1,621.81 | Facility | None | $117.49 | $151.36 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $213.80 | $331.13 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $74.13 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $158.49 | $245.47 | $398.11 |
Denver HMP Setting Facility Modifier None Typical Low $218.78 Median $316.23 Typical High $478.63 | Facility | None | $218.78 | $316.23 | $478.63 |
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 $346.74 Typical High $467.74 | Professional | None | $208.93 | $346.74 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $52.48 | $87.10 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $257.04 Typical High $346.74 | Professional | TC · Technical part | $158.49 | $257.04 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $407.38 Typical High $467.74 | Facility | None | $223.87 | $407.38 | $467.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $154.88 | $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 $239.88 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $239.88 | $371.54 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $51.29 | $91.20 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $275.42 Typical High $389.05 | Professional | TC · Technical part | $186.21 | $275.42 | $389.05 |
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 $128.82 | Professional | 52 · Reduced service | $87.10 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $44.67 Typical High $52.48 | Professional | 53 · Discontinued | $34.67 | $44.67 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $177.83 Typical High $208.93 | Professional | FX · Film X-ray | $158.49 | $177.83 | $208.93 |
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· 16th of 51
$355
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.