How much rates vary
Facilitymedian $257 · 10th to 90th $105 to $794Professionalmedian $170 · 10th to 90th $102 to $282
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 $102.33 Median $120.23 Typical High $162.18 | Facility | None | $102.33 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $162.18 | Professional | None (both parts) | $89.13 | $102.33 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.38 Typical High $26.92 | Professional | 26 · Professional part | $14.45 | $17.38 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $158.49 | Professional | TC · Technical part | $74.13 | $87.10 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $281.84 Typical High $524.81 | Facility | None | $234.42 | $281.84 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $131.83 | $190.55 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $48.98 | Professional | 26 · Professional part | $19.95 | $28.84 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $112.20 | $158.49 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $1,621.81 | Facility | None | $117.49 | $125.89 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $85.11 | $141.25 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.91 Typical High $38.90 | Professional | 26 · Professional part | $16.60 | $22.91 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $114.82 Typical High $194.98 | Professional | TC · Technical part | $67.61 | $114.82 | $194.98 |
Denver HMP Setting Facility Modifier None Typical Low $102.33 Median $131.83 Typical High $213.80 | Facility | None | $102.33 | $131.83 | $213.80 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $162.18 Typical High $229.09 | Professional | None | $100.00 | $162.18 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $26.92 Typical High $36.31 | Professional | 26 · Professional part | $16.60 | $26.92 | $36.31 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $83.18 | $134.90 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $194.98 Typical High $218.78 | Facility | None | $104.71 | $194.98 | $218.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $74.13 | $100.00 | $154.88 |
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 $83.18 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $83.18 | $169.82 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $15.49 | $28.18 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $141.25 Typical High $208.93 | Professional | TC · Technical part | $67.61 | $141.25 | $208.93 |
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 $44.67 Median $51.29 Typical High $63.10 | Professional | 52 · Reduced service | $44.67 | $51.29 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $25.12 | Professional | 53 · Discontinued | $17.78 | $20.89 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $83.18 Typical High $100.00 | Professional | FX · Film X-ray | $72.44 | $83.18 | $100.00 |
Where Colorado sits
The same service costs 5.5 times more in Alabama 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· 11th of 51
$174
AL $479FL $87.10
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.