How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $109.65 Median $120.23 Typical High $162.18 | Facility | None | $109.65 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $123.03 | Professional | None (both parts) | $87.10 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $67.61 | Professional | 26 · Professional part | $53.70 | $64.57 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $44.67 Typical High $45.71 | Professional | TC · Technical part | $36.31 | $44.67 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $120.23 | $173.78 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $74.13 | $104.71 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $72.44 Typical High $120.23 | Professional | TC · Technical part | $48.98 | $72.44 | $120.23 |
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 $100.00 Median $154.88 Typical High $281.84 | Professional | None (both parts) | $100.00 | $154.88 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $61.66 | $83.18 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $63.10 Typical High $112.20 | Professional | TC · Technical part | $40.74 | $63.10 | $112.20 |
Denver HMP Setting Facility Modifier None Typical Low $107.15 Median $138.04 Typical High $208.93 | Facility | None | $107.15 | $138.04 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $602.56 | Professional | None | $302.00 | $457.09 | $602.56 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $97.72 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $467.74 | Professional | TC · Technical part | $239.88 | $346.74 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $562.34 Typical High $630.96 | Facility | None | $302.00 | $562.34 | $630.96 |
Select Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $5,011.87 | Professional | None (both parts) | $213.80 | $302.00 | $5,011.87 |
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 $162.18 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $162.18 | $204.17 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $109.65 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $102.33 Typical High $269.15 | Professional | TC · Technical part | $64.57 | $102.33 | $269.15 |
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 $43.65 Median $54.95 Typical High $61.66 | Professional | 52 · Reduced service | $43.65 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.88 Typical High $24.55 | Professional | 53 · Discontinued | $17.38 | $21.88 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $87.10 Typical High $102.33 | Professional | FX · Film X-ray | $79.43 | $87.10 | $102.33 |
Where Colorado sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 21st of 51
$178
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.