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 $120.23 Median $954.99 Typical High $3,162.28 | Facility | None | $120.23 | $954.99 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $691.83 | Professional | None | $389.05 | $446.68 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $1,071.52 | Professional | None | $478.63 | $691.83 | $1,071.52 |
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 $398.11 Median $630.96 Typical High $954.99 | Professional | None | $398.11 | $630.96 | $954.99 |
Denver HMP Setting Facility Modifier None Typical Low $407.38 Median $524.81 Typical High $831.76 | Facility | None | $407.38 | $524.81 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $676.08 Typical High $891.25 | Professional | None | $436.52 | $676.08 | $891.25 |
Select Health Setting Facility Modifier None Typical Low $436.52 Median $794.33 Typical High $912.01 | Facility | None | $436.52 | $794.33 | $912.01 |
Select Health Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $1,047.13 | Professional | None | $302.00 | $457.09 | $1,047.13 |
United Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $977.24 | Professional | None | $478.63 | $676.08 | $977.24 |
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 $204.17 Median $223.87 Typical High $257.04 | Professional | 52 · Reduced service | $204.17 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $89.13 Typical High $102.33 | Professional | 53 · Discontinued | $81.28 | $89.13 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $354.81 Typical High $363.08 | Professional | FX · Film X-ray | $338.84 | $354.81 | $363.08 |
Where Colorado sits
The same service costs 4.2 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
$646
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.