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 $302.00 Typical High $1,412.54 | Facility | None | $162.18 | $302.00 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $239.88 Typical High $794.33 | Professional | None | $234.42 | $239.88 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $275.42 Median $407.38 Typical High $630.96 | Professional | None | $275.42 | $407.38 | $630.96 |
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 $229.09 Median $371.54 Typical High $575.44 | Professional | None | $229.09 | $371.54 | $575.44 |
Denver HMP Setting Facility Modifier None Typical Low $169.82 Median $251.19 Typical High $512.86 | Facility | None | $169.82 | $251.19 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $912.01 | Professional | None | $467.74 | $691.83 | $912.01 |
Select Health Setting Facility Modifier None Typical Low $467.74 Median $870.96 Typical High $1,000.00 | Facility | None | $467.74 | $870.96 | $1,000.00 |
Select Health Setting Professional Modifier None Typical Low $331.13 Median $616.60 Typical High $5,011.87 | Professional | None | $331.13 | $616.60 | $5,011.87 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,884.03 | Facility | None | $2,398.83 | $2,511.89 | $2,884.03 |
United Setting Professional Modifier None Typical Low $223.87 Median $407.38 Typical High $588.84 | Professional | None | $223.87 | $407.38 | $588.84 |
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 $117.49 Median $120.23 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $47.86 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $218.78 | Professional | FX · Film X-ray | $190.55 | $190.55 | $218.78 |
Where Colorado sits
The same service costs 5.1 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· 27th of 51
$407
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.