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 $120.23 Median $380.19 Typical High $1,258.93 | Facility | None | $120.23 | $380.19 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $288.40 | Professional | None | $147.91 | $173.78 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $416.87 | Professional | None | $190.55 | $275.42 | $416.87 |
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 $158.49 Median $251.19 Typical High $354.81 | Professional | None | $158.49 | $251.19 | $354.81 |
Denver HMP Setting Facility Modifier None Typical Low $162.18 Median $208.93 Typical High $331.13 | Facility | None | $162.18 | $208.93 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $263.03 Typical High $354.81 | Professional | None | $169.82 | $263.03 | $354.81 |
Select Health Setting Facility Modifier None Typical Low $169.82 Median $316.23 Typical High $363.08 | Facility | None | $169.82 | $316.23 | $363.08 |
Select Health Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $416.87 | Professional | None | $120.23 | $181.97 | $416.87 |
United Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $389.05 | Professional | None | $190.55 | $269.15 | $389.05 |
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 $81.28 Median $87.10 Typical High $100.00 | Professional | 52 · Reduced service | $81.28 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $35.48 Typical High $40.74 | Professional | 53 · Discontinued | $32.36 | $35.48 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $134.90 | $141.25 | $141.25 |
Where Colorado sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 17th of 51
$251
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.