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 $74.13 Median $158.49 Typical High $524.81 | Facility | None | $74.13 | $158.49 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $120.23 | Professional | None | $66.07 | $74.13 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $177.83 | Professional | None | $79.43 | $117.49 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $125.89 | Facility | None | $117.49 | $123.03 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $151.36 | Professional | None | $66.07 | $104.71 | $151.36 |
Denver HMP Setting Facility Modifier None Typical Low $69.18 Median $93.33 Typical High $138.04 | Facility | None | $69.18 | $93.33 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $109.65 Typical High $147.91 | Professional | None | $70.79 | $109.65 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $70.79 Median $131.83 Typical High $151.36 | Facility | None | $70.79 | $131.83 | $151.36 |
Select Health Setting Professional Modifier None Typical Low $50.12 Median $75.86 Typical High $173.78 | Professional | None | $50.12 | $75.86 | $173.78 |
United Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $165.96 | Professional | None | $85.11 | $114.82 | $165.96 |
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 $33.88 Median $36.31 Typical High $41.69 | Professional | 52 · Reduced service | $33.88 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.79 Typical High $16.98 | Professional | 53 · Discontinued | $13.49 | $14.79 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $58.88 Typical High $60.26 | Professional | FX · Film X-ray | $57.54 | $58.88 | $60.26 |
Where Colorado sits
The same service costs 4.2 times more in Alaska than in New York. 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· 14th of 51
$107
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.