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 $2,187.76 Typical High $7,762.47 | Professional | None | $120.23 | $2,187.76 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $3,019.95 | Professional | None | $1,288.25 | $1,949.84 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $1,148.15 Typical High $5,128.61 | Facility | None | $117.49 | $1,148.15 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $3,715.35 | Professional | None | $1,380.38 | $1,380.38 | $3,715.35 |
Denver HMP Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $2,290.87 | Facility | None | $1,148.15 | $1,348.96 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,230.27 | $1,905.46 | $2,570.40 |
Select Health Setting Facility Modifier None Typical Low $1,230.27 Median $2,290.87 Typical High $2,570.40 | Facility | None | $1,230.27 | $2,290.87 | $2,570.40 |
Select Health Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $3,019.95 | Professional | None | $870.96 | $1,230.27 | $3,019.95 |
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 $1,380.38 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,380.38 | $1,862.09 | $2,570.40 |
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 $549.54 Median $645.65 Typical High $676.08 | Professional | 52 · Reduced service | $549.54 | $645.65 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $218.78 | $257.04 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $933.25 Median $1,023.29 Typical High $1,023.29 | Professional | FX · Film X-ray | $933.25 | $1,023.29 | $1,023.29 |
Where Colorado sits
The same service costs 70.8 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· 17th of 51
$1,905
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.