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 $138.04 Typical High $162.18 | Facility | None | $120.23 | $138.04 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $154.88 | Professional | None (both parts) | $109.65 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $85.11 | Professional | 26 · Professional part | $67.61 | $81.28 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $58.88 | Professional | TC · Technical part | $42.66 | $56.23 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $363.08 Typical High $676.08 | Facility | None | $302.00 | $363.08 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $144.54 | $218.78 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $131.83 Typical High $199.53 | Professional | 26 · Professional part | $91.20 | $131.83 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $91.20 Typical High $151.36 | Professional | TC · Technical part | $61.66 | $91.20 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $891.25 | Facility | None | $117.49 | $125.89 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $125.89 | $190.55 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $181.97 | Professional | 26 · Professional part | $75.86 | $104.71 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $81.28 Typical High $120.23 | Professional | TC · Technical part | $50.12 | $81.28 | $120.23 |
Denver HMP Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $288.40 | Facility | None | $128.82 | $194.98 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $208.93 Typical High $275.42 | Professional | None | $134.90 | $208.93 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $123.03 | $162.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $56.23 | $87.10 | $114.82 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $251.19 Typical High $281.84 | Facility | None | $134.90 | $251.19 | $281.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $323.59 | Professional | None (both parts) | $95.50 | $138.04 | $323.59 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,230.27 | Facility | None | $1,023.29 | $1,071.52 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $147.91 | $223.87 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $134.90 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $134.90 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $87.10 | $123.03 |
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 $54.95 Median $67.61 Typical High $77.62 | Professional | 52 · Reduced service | $54.95 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $27.54 Typical High $30.90 | Professional | 53 · Discontinued | $21.88 | $27.54 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $109.65 Typical High $125.89 | Professional | FX · Film X-ray | $102.33 | $109.65 | $125.89 |
Where Colorado sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 15th of 51
$219
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.