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 $169.82 | Facility | None | $120.23 | $162.18 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $131.83 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $17.38 | Professional | 26 · Professional part | $12.02 | $14.13 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $275.42 | Professional | TC · Technical part | $120.23 | $154.88 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $446.68 Typical High $812.83 | Facility | None | $371.54 | $446.68 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $190.55 | $281.84 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.91 Typical High $38.90 | Professional | 26 · Professional part | $15.85 | $22.91 | $38.90 |
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 $141.25 Typical High $2,187.76 | Facility | None | $117.49 | $141.25 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $144.54 | $234.42 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.62 Typical High $31.62 | Professional | 26 · Professional part | $13.80 | $18.62 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $128.82 | $218.78 | $354.81 |
Denver HMP Setting Facility Modifier None Typical Low $128.82 Median $169.82 Typical High $263.03 | Facility | None | $128.82 | $169.82 | $263.03 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $346.74 | Professional | None | $158.49 | $263.03 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $21.88 | $28.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $239.88 Typical High $316.23 | Professional | TC · Technical part | $144.54 | $239.88 | $316.23 |
Select Health Setting Facility Modifier None Typical Low $165.96 Median $309.03 Typical High $346.74 | Facility | None | $165.96 | $309.03 | $346.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $114.82 | $162.18 | $229.09 |
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 $144.54 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $144.54 | $275.42 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $12.88 | $23.44 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $251.19 Typical High $371.54 | Professional | TC · Technical part | $131.83 | $251.19 | $371.54 |
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 $66.07 Median $85.11 Typical High $100.00 | Professional | 52 · Reduced service | $66.07 | $85.11 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $33.88 Typical High $39.81 | Professional | 53 · Discontinued | $26.30 | $33.88 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $134.90 Typical High $162.18 | Professional | FX · Film X-ray | $120.23 | $134.90 | $162.18 |
Where Colorado sits
The same service costs 4.3 times more in Alabama than in Indiana. 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
$263
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.