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 $223.87 Typical High $354.81 | Facility | None | $120.23 | $223.87 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $223.87 Typical High $389.05 | Professional | None (both parts) | $177.83 | $223.87 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $44.67 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $323.59 | Professional | TC · Technical part | $141.25 | $181.97 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $588.84 Typical High $1,096.48 | Facility | None | $501.19 | $588.84 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $257.04 | $371.54 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $141.25 | Professional | 26 · Professional part | $48.98 | $70.79 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $295.12 Typical High $501.19 | Professional | TC · Technical part | $204.17 | $295.12 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $162.18 Typical High $2,187.76 | Facility | None | $117.49 | $162.18 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $199.53 | $316.23 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $42.66 | $60.26 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $251.19 Typical High $416.87 | Professional | TC · Technical part | $158.49 | $251.19 | $416.87 |
Denver HMP Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $354.81 | Facility | None | $223.87 | $288.40 | $354.81 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $346.74 Typical High $467.74 | Professional | None | $208.93 | $346.74 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $41.69 | $69.18 | $93.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $275.42 | $371.54 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $407.38 Typical High $467.74 | Facility | None | $218.78 | $407.38 | $467.74 |
Select Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $302.00 | Professional | None (both parts) | $154.88 | $218.78 | $302.00 |
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 $199.53 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $199.53 | $363.08 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $38.90 | $74.13 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $295.12 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $295.12 | $436.52 |
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 $89.13 Median $112.20 Typical High $134.90 | Professional | 52 · Reduced service | $89.13 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $44.67 Typical High $53.70 | Professional | 53 · Discontinued | $35.48 | $44.67 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $181.97 Typical High $213.80 | Professional | FX · Film X-ray | $158.49 | $181.97 | $213.80 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 16th of 51
$347
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.