How much rates vary
Facilitymedian $186 · 10th to 90th $91 to $380Professionalmedian $107 · 10th to 90th $69 to $178
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 $70.79 Median $120.23 Typical High $162.18 | Facility | None | $70.79 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $70.79 Typical High $128.82 | Professional | None (both parts) | $57.54 | $70.79 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.59 Typical High $8.91 | Professional | 26 · Professional part | $6.17 | $7.59 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $114.82 | Professional | TC · Technical part | $51.29 | $63.10 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $208.93 Typical High $380.19 | Facility | None | $173.78 | $208.93 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $79.43 | $114.82 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $22.39 | Professional | 26 · Professional part | $7.94 | $11.48 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $72.44 | $104.71 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $239.88 | Facility | None | $117.49 | $125.89 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $63.10 | $102.33 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $7.08 | $10.47 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $54.95 | $87.10 | $151.36 |
Denver HMP Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $120.23 | Facility | None | $70.79 | $97.72 | $120.23 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $162.18 | Professional | None | $74.13 | $120.23 | $162.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.30 Typical High $16.60 | Professional | 26 · Professional part | $7.59 | $12.30 | $16.60 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $66.07 | $107.15 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $77.62 Median $144.54 Typical High $162.18 | Facility | None | $77.62 | $144.54 | $162.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $93.33 | Professional | None (both parts) | $53.70 | $67.61 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $64.57 | $117.49 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $7.59 | $12.02 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $56.23 | $107.15 | $158.49 |
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 $28.18 Median $35.48 Typical High $43.65 | Professional | 52 · Reduced service | $28.18 | $35.48 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $14.13 Typical High $17.38 | Professional | 53 · Discontinued | $11.22 | $14.13 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $56.23 Typical High $70.79 | Professional | FX · Film X-ray | $48.98 | $56.23 | $70.79 |
Where Colorado sits
The same service costs 4.6 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· 16th of 51
$115
AK $275KY $60.26
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.