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 $257.04 | Facility | None | $120.23 | $162.18 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $288.40 | Professional | None (both parts) | $194.98 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $26.30 | Professional | 26 · Professional part | $20.42 | $24.55 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $263.03 | Professional | TC · Technical part | $186.21 | $234.42 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $691.83 Typical High $1,288.25 | Facility | None | $588.84 | $691.83 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $426.58 Typical High $724.44 | Professional | None (both parts) | $295.12 | $426.58 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $77.62 | Professional | 26 · Professional part | $27.54 | $39.81 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $389.05 Typical High $660.69 | Professional | TC · Technical part | $263.03 | $389.05 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $213.80 Typical High $5,248.07 | Facility | None | $117.49 | $213.80 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $239.88 | $371.54 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $33.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $331.13 Typical High $562.34 | Professional | TC · Technical part | $218.78 | $331.13 | $562.34 |
Denver HMP Setting Facility Modifier None Typical Low $257.04 Median $331.13 Typical High $489.78 | Facility | None | $257.04 | $331.13 | $489.78 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $549.54 | Professional | None | $245.47 | $398.11 | $549.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $22.91 | $38.02 | $50.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $363.08 Typical High $489.78 | Professional | TC · Technical part | $223.87 | $363.08 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $549.54 | Facility | None | $257.04 | $478.63 | $549.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $181.97 | $251.19 | $346.74 |
United Setting Facility Modifier None Typical Low $5,623.41 Median $5,888.44 Typical High $6,760.83 | Facility | None | $5,623.41 | $5,888.44 | $6,760.83 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $436.52 Typical High $645.65 | Professional | None (both parts) | $239.88 | $436.52 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $41.69 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $407.38 Typical High $575.44 | Professional | TC · Technical part | $218.78 | $407.38 | $575.44 |
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 $102.33 Median $128.82 Typical High $158.49 | Professional | 52 · Reduced service | $102.33 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $51.29 Typical High $63.10 | Professional | 53 · Discontinued | $40.74 | $51.29 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $208.93 Typical High $257.04 | Professional | FX · Film X-ray | $181.97 | $208.93 | $257.04 |
Where Colorado sits
The same service costs 4.3 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· 14th of 51
$407
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.