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 $112.20 Median $245.47 Typical High $812.83 | Facility | None | $112.20 | $245.47 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $186.21 | Professional | None | $97.72 | $112.20 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $269.15 | Professional | None | $120.23 | $177.83 | $269.15 |
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 $97.72 Median $154.88 Typical High $218.78 | Professional | None | $97.72 | $154.88 | $218.78 |
Denver HMP Setting Facility Modifier None Typical Low $102.33 Median $123.03 Typical High $162.18 | Facility | None | $102.33 | $123.03 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $223.87 | Professional | None | $109.65 | $169.82 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $199.53 Typical High $229.09 | Facility | None | $109.65 | $199.53 | $229.09 |
Select Health Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $263.03 | Professional | None | $75.86 | $114.82 | $263.03 |
United Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $245.47 | Professional | None | $114.82 | $165.96 | $245.47 |
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 $51.29 Median $56.23 Typical High $64.57 | Professional | 52 · Reduced service | $51.29 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $22.91 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $85.11 | $91.20 | $91.20 |
Where Colorado sits
The same service costs 4.4 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· 12th of 51
$162
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.