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 $43.65 Median $120.23 Typical High $162.18 | Facility | None | $43.65 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $43.65 Typical High $51.29 | Professional | None (both parts) | $33.88 | $43.65 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $26.30 | Professional | 26 · Professional part | $19.05 | $22.91 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $20.42 Typical High $24.55 | Professional | TC · Technical part | $14.79 | $20.42 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $117.49 Typical High $218.78 | Facility | None | $100.00 | $117.49 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $63.10 Typical High $117.49 | Professional | None (both parts) | $33.11 | $63.10 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $74.13 | Professional | 26 · Professional part | $26.92 | $38.02 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $32.36 Typical High $66.07 | Professional | TC · Technical part | $21.88 | $32.36 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $125.89 | Facility | None | $117.49 | $123.03 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $77.62 Typical High $275.42 | Professional | None (both parts) | $40.74 | $77.62 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $22.39 | $30.90 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $34.67 Typical High $114.82 | Professional | TC · Technical part | $18.20 | $34.67 | $114.82 |
Denver HMP Setting Facility Modifier None Typical Low $41.69 Median $61.66 Typical High $309.03 | Facility | None | $41.69 | $61.66 | $309.03 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $67.61 Typical High $93.33 | Professional | None | $41.69 | $67.61 | $93.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $36.31 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $36.31 | $48.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $31.62 Typical High $42.66 | Professional | TC · Technical part | $19.50 | $31.62 | $42.66 |
Select Health Setting Facility Modifier None Typical Low $43.65 Median $81.28 Typical High $93.33 | Facility | None | $43.65 | $81.28 | $93.33 |
Select Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $43.65 Typical High $56.23 | Professional | None (both parts) | $30.90 | $43.65 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $154.88 | Professional | None (both parts) | $56.23 | $83.18 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $21.38 | $38.02 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $37.15 Typical High $134.90 | Professional | TC · Technical part | $25.12 | $37.15 | $134.90 |
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 $16.98 Median $21.88 Typical High $24.55 | Professional | 52 · Reduced service | $16.98 | $21.88 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.71 Typical High $9.77 | Professional | 53 · Discontinued | $6.76 | $8.71 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $34.67 Typical High $39.81 | Professional | FX · Film X-ray | $31.62 | $34.67 | $39.81 |
Where Colorado sits
The same service costs 7.2 times more in Alabama than in Florida. 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· 24th of 51
$69.18
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.