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 $323.59 | Facility | None | $120.23 | $162.18 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $323.59 Typical High $338.84 | Professional | None (both parts) | $234.42 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $30.90 | Professional | 26 · Professional part | $23.99 | $29.51 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $295.12 Typical High $316.23 | Professional | TC · Technical part | $229.09 | $295.12 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $831.76 Typical High $1,548.82 | Facility | None | $707.95 | $831.76 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $537.03 Typical High $912.01 | Professional | None (both parts) | $363.08 | $537.03 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $33.11 | $47.86 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $489.78 Typical High $831.76 | Professional | TC · Technical part | $323.59 | $489.78 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $263.03 Typical High $2,187.76 | Facility | None | $117.49 | $263.03 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $446.68 Typical High $724.44 | Professional | None (both parts) | $257.04 | $446.68 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $39.81 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $407.38 Typical High $676.08 | Professional | TC · Technical part | $229.09 | $407.38 | $676.08 |
Denver HMP Setting Facility Modifier None Typical Low $257.04 Median $331.13 Typical High $478.63 | Facility | None | $257.04 | $331.13 | $478.63 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $489.78 Typical High $660.69 | Professional | None | $295.12 | $489.78 | $660.69 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $45.71 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $45.71 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $446.68 Typical High $588.84 | Professional | TC · Technical part | $269.15 | $446.68 | $588.84 |
Select Health Setting Facility Modifier None Typical Low $309.03 Median $575.44 Typical High $660.69 | Facility | None | $309.03 | $575.44 | $660.69 |
Select Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $218.78 | $309.03 | $436.52 |
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 $245.47 Median $537.03 Typical High $794.33 | Professional | None (both parts) | $245.47 | $537.03 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $25.12 | $47.86 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $489.78 Typical High $707.95 | Professional | TC · Technical part | $213.80 | $489.78 | $707.95 |
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 $125.89 Median $162.18 Typical High $194.98 | Professional | 52 · Reduced service | $125.89 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $64.57 Typical High $77.62 | Professional | 53 · Discontinued | $50.12 | $64.57 | $77.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $257.04 Typical High $309.03 | Professional | FX · Film X-ray | $223.87 | $257.04 | $309.03 |
Where Colorado sits
The same service costs 4.9 times more in Alaska 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· 13th of 51
$501
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.