How much rates vary
Facilitymedian $1,445 · 10th to 90th $162 to $2,951Professionalmedian $933 · 10th to 90th $537 to $1,514
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 $602.56 | Facility | None | $120.23 | $162.18 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $602.56 Typical High $1,071.52 | Professional | None (both parts) | $457.09 | $602.56 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $47.86 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $562.34 Typical High $1,000.00 | Professional | TC · Technical part | $446.68 | $562.34 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $2,951.21 | Facility | None | $1,348.96 | $1,584.89 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,023.29 Typical High $1,737.80 | Professional | None (both parts) | $676.08 | $1,023.29 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $75.86 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $954.99 Typical High $1,621.81 | Professional | TC · Technical part | $630.96 | $954.99 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $512.86 Typical High $5,248.07 | Facility | None | $117.49 | $512.86 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $812.83 Typical High $1,348.96 | Professional | None (both parts) | $478.63 | $812.83 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $45.71 | $63.10 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $794.33 Typical High $1,258.93 | Professional | TC · Technical part | $436.52 | $794.33 | $1,258.93 |
Denver HMP Setting Facility Modifier None Typical Low $549.54 Median $758.58 Typical High $870.96 | Facility | None | $549.54 | $758.58 | $870.96 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $933.25 Typical High $1,258.93 | Professional | None | $562.34 | $933.25 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $72.44 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $870.96 Typical High $1,148.15 | Professional | TC · Technical part | $524.81 | $870.96 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $1,258.93 | Facility | None | $588.84 | $1,096.48 | $1,258.93 |
Select Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $588.84 Typical High $831.76 | Professional | None (both parts) | $416.87 | $588.84 | $831.76 |
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 $467.74 Median $954.99 Typical High $1,548.82 | Professional | None (both parts) | $467.74 | $954.99 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $81.28 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $891.25 Typical High $1,412.54 | Professional | TC · Technical part | $426.58 | $891.25 | $1,412.54 |
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 $245.47 Median $302.00 Typical High $380.19 | Professional | 52 · Reduced service | $245.47 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $123.03 Typical High $151.36 | Professional | 53 · Discontinued | $97.72 | $123.03 | $151.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $426.58 Median $489.78 Typical High $616.60 | Professional | FX · Film X-ray | $426.58 | $489.78 | $616.60 |
Where Colorado sits
The same service costs 4.4 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· 13th of 51
$955
AK $1,950KY $447
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.