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 $354.81 | Facility | None | $120.23 | $162.18 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $234.42 | Professional | None (both parts) | $162.18 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $27.54 | Professional | 26 · Professional part | $19.50 | $23.99 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $194.98 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $1,071.52 | Facility | None | $489.78 | $575.44 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $354.81 Typical High $602.56 | Professional | None (both parts) | $245.47 | $354.81 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $26.30 | $38.02 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $323.59 Typical High $549.54 | Professional | TC · Technical part | $218.78 | $323.59 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $177.83 Typical High $1,621.81 | Facility | None | $117.49 | $177.83 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $173.78 | $295.12 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $21.88 | $31.62 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $154.88 | $257.04 | $416.87 |
Denver HMP Setting Facility Modifier None Typical Low $208.93 Median $269.15 Typical High $316.23 | Facility | None | $208.93 | $269.15 | $316.23 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $338.84 Typical High $446.68 | Professional | None | $204.17 | $338.84 | $446.68 |
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 $181.97 Median $302.00 Typical High $398.11 | Professional | TC · Technical part | $181.97 | $302.00 | $398.11 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $398.11 Typical High $446.68 | Facility | None | $213.80 | $398.11 | $446.68 |
Select Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $151.36 | $208.93 | $288.40 |
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 $169.82 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $169.82 | $338.84 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $20.42 | $38.02 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $151.36 | $302.00 | $457.09 |
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 $83.18 Median $109.65 Typical High $125.89 | Professional | 52 · Reduced service | $83.18 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $43.65 Typical High $50.12 | Professional | 53 · Discontinued | $33.88 | $43.65 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $173.78 Typical High $199.53 | Professional | FX · Film X-ray | $154.88 | $173.78 | $199.53 |
Where Colorado sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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· 12th of 51
$339
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.