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 $97.72 Median $151.36 Typical High $575.44 | Facility | None | $97.72 | $151.36 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $97.72 Typical High $162.18 | Professional | None | $53.70 | $97.72 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $223.87 | Professional | None | $100.00 | $147.91 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $131.83 Typical High $537.03 | Facility | None | $117.49 | $131.83 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $128.82 Typical High $173.78 | Professional | None | $70.79 | $128.82 | $173.78 |
Denver HMP Setting Facility Modifier None Typical Low $72.44 Median $97.72 Typical High $147.91 | Facility | None | $72.44 | $97.72 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $151.36 Typical High $199.53 | Professional | None | $97.72 | $151.36 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $97.72 Median $181.97 Typical High $204.17 | Facility | None | $97.72 | $181.97 | $204.17 |
Select Health Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $229.09 | Professional | None | $67.61 | $97.72 | $229.09 |
United Setting Facility Modifier None Typical Low $588.84 Median $616.60 Typical High $707.95 | Facility | None | $588.84 | $616.60 | $707.95 |
United Setting Professional Modifier None Typical Low $77.62 Median $128.82 Typical High $181.97 | Professional | None | $77.62 | $128.82 | $181.97 |
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 $39.81 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $39.81 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.50 Typical High $20.42 | Professional | 53 · Discontinued | $15.85 | $19.50 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $67.61 | $77.62 | $77.62 |
Where Colorado sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 19th of 51
$132
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.