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 $177.83 | Facility | None | $120.23 | $162.18 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $128.82 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $24.55 | Professional | 26 · Professional part | $16.98 | $20.89 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $117.49 | $154.88 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $467.74 Typical High $870.96 | Facility | None | $398.11 | $467.74 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $199.53 | $288.40 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $33.88 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $173.78 | $257.04 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $371.54 Typical High $1,621.81 | Facility | None | $117.49 | $371.54 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $147.91 | $245.47 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.18 Typical High $46.77 | Professional | 26 · Professional part | $19.50 | $28.18 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $218.78 Typical High $363.08 | Professional | TC · Technical part | $128.82 | $218.78 | $363.08 |
Denver HMP Setting Facility Modifier None Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | None | $177.83 | $223.87 | $281.84 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $275.42 Typical High $371.54 | Professional | None | $165.96 | $275.42 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $19.50 | $32.36 | $42.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $239.88 Typical High $323.59 | Professional | TC · Technical part | $147.91 | $239.88 | $323.59 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $323.59 Typical High $371.54 | Facility | None | $177.83 | $323.59 | $371.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $123.03 | $169.82 | $234.42 |
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 $144.54 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $144.54 | $288.40 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $18.20 | $33.88 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $125.89 | $251.19 | $380.19 |
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 $69.18 Median $89.13 Typical High $107.15 | Professional | 52 · Reduced service | $69.18 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $35.48 Typical High $42.66 | Professional | 53 · Discontinued | $27.54 | $35.48 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $141.25 Typical High $169.82 | Professional | FX · Film X-ray | $123.03 | $141.25 | $169.82 |
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· 15th of 51
$275
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.