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 $120.23 Typical High $162.18 | Facility | None | $120.23 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $6,456.54 | Professional | None | $120.23 | $162.18 | $6,456.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $446.68 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $177.83 | $199.53 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,513.56 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $912.01 Typical High $5,128.61 | Facility | None | $117.49 | $912.01 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,511.89 | Professional | None | $1,096.48 | $1,096.48 | $2,511.89 |
Denver HMP Setting Facility Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,412.54 | Facility | None | $891.25 | $1,000.00 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,479.11 Typical High $1,995.26 | Professional | None | $977.24 | $1,479.11 | $1,995.26 |
Select Health Setting Facility Modifier None Typical Low $977.24 Median $1,778.28 Typical High $2,041.74 | Facility | None | $977.24 | $1,778.28 | $2,041.74 |
Select Health Setting Professional Modifier None Typical Low $676.08 Median $977.24 Typical High $2,344.23 | Professional | None | $676.08 | $977.24 | $2,344.23 |
United Setting Facility Modifier None Typical Low $5,495.41 Median $5,754.40 Typical High $6,606.93 | Facility | None | $5,495.41 | $5,754.40 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,445.44 | $1,949.84 |
1 more rate 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 FX · Film X-ray Typical Low $758.58 Median $794.33 Typical High $794.33 | Professional | FX · Film X-ray | $758.58 | $794.33 | $794.33 |
Where Colorado sits
The same service costs 64.6 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· 19th of 51
$1,479
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.