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 $60.26 Median $120.23 Typical High $162.18 | Facility | None | $60.26 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $70.79 | Professional | None | $52.48 | $60.26 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $245.47 | Facility | None | $112.20 | $131.83 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $165.96 | Professional | None | $70.79 | $97.72 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $707.95 Typical High $1,445.44 | Facility | None | $117.49 | $707.95 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $234.42 | Professional | None | $52.48 | $97.72 | $234.42 |
Denver HMP Setting Facility Modifier None Typical Low $57.54 Median $85.11 Typical High $263.03 | Facility | None | $57.54 | $85.11 | $263.03 |
Denver HMP Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $109.65 | Professional | None | $52.48 | $74.13 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $48.98 Median $91.20 Typical High $104.71 | Facility | None | $48.98 | $91.20 | $104.71 |
Select Health Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $95.50 | Professional | None | $45.71 | $61.66 | $95.50 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $1,819.70 | Facility | None | $1,513.56 | $1,584.89 | $1,819.70 |
United Setting Professional Modifier None Typical Low $63.10 Median $104.71 Typical High $199.53 | Professional | None | $63.10 | $104.71 | $199.53 |
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 $26.30 Median $30.20 Typical High $35.48 | Professional | 52 · Reduced service | $26.30 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.02 Typical High $14.13 | Professional | 53 · Discontinued | $10.47 | $12.02 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $47.86 Typical High $48.98 | Professional | FX · Film X-ray | $41.69 | $47.86 | $48.98 |
Where Colorado sits
The same service costs 4.1 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· 27th of 51
$95.50
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.