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 $162.18 Median $229.09 Typical High $1,071.52 | Facility | None | $162.18 | $229.09 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $181.97 Typical High $549.54 | Professional | None | $177.83 | $181.97 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $467.74 | Professional | None | $208.93 | $302.00 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $263.03 Typical High $1,047.13 | Facility | None | $117.49 | $263.03 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $436.52 | Professional | None | $169.82 | $281.84 | $436.52 |
Denver HMP Setting Facility Modifier None Typical Low $144.54 Median $186.21 Typical High $380.19 | Facility | None | $144.54 | $186.21 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $660.69 | Professional | None | $331.13 | $489.78 | $660.69 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $691.83 | Facility | None | $331.13 | $602.56 | $691.83 |
Select Health Setting Professional Modifier None Typical Low $229.09 Median $426.58 Typical High $5,011.87 | Professional | None | $229.09 | $426.58 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,778.28 Typical High $2,041.74 | Facility | None | $1,698.24 | $1,778.28 | $2,041.74 |
United Setting Professional Modifier None Typical Low $190.55 Median $316.23 Typical High $446.68 | Professional | None | $190.55 | $316.23 | $446.68 |
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 $87.10 Median $91.20 Typical High $102.33 | Professional | 52 · Reduced service | $87.10 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $36.31 Typical High $40.74 | Professional | 53 · Discontinued | $35.48 | $36.31 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | FX · Film X-ray | $144.54 | $144.54 | $165.96 |
Where Colorado sits
The same service costs 4.3 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· 28th of 51
$302
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.