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 $158.49 Median $251.19 Typical High $954.99 | Facility | None | $158.49 | $251.19 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $263.03 | Professional | None | $109.65 | $158.49 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $354.81 | Professional | None | $162.18 | $234.42 | $354.81 |
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 $125.89 Median $199.53 Typical High $269.15 | Professional | None | $125.89 | $199.53 | $269.15 |
Denver HMP Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $229.09 | Facility | None | $144.54 | $169.82 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $331.13 | Professional | None | $158.49 | $245.47 | $331.13 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $295.12 Typical High $331.13 | Facility | None | $158.49 | $295.12 | $331.13 |
Select Health Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $371.54 | Professional | None | $112.20 | $158.49 | $371.54 |
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 $147.91 Median $204.17 Typical High $288.40 | Professional | None | $147.91 | $204.17 | $288.40 |
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 $63.10 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $63.10 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $31.62 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $104.71 | $128.82 | $128.82 |
Where Colorado sits
The same service costs 4.1 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
$214
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.