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 $20.42 Median $120.23 Typical High $162.18 | Facility | None | $20.42 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $20.42 Typical High $20.42 | Professional | None | $15.49 | $20.42 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $66.07 | Professional | None | $21.38 | $30.20 | $66.07 |
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 $16.22 Median $30.90 Typical High $138.04 | Professional | None | $16.22 | $30.90 | $138.04 |
Denver HMP Setting Facility Modifier None Typical Low $18.20 Median $28.84 Typical High $131.83 | Facility | None | $18.20 | $28.84 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $30.90 Typical High $40.74 | Professional | None | $19.50 | $30.90 | $40.74 |
Select Health Setting Facility Modifier None Typical Low $19.50 Median $36.31 Typical High $41.69 | Facility | None | $19.50 | $36.31 | $41.69 |
Select Health Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $46.77 | Professional | None | $13.80 | $19.50 | $46.77 |
United Setting Professional Modifier None Typical Low $20.42 Median $34.67 Typical High $112.20 | Professional | None | $20.42 | $34.67 | $112.20 |
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 $7.76 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $7.76 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $3.09 | $4.07 | $4.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.88 Median $16.22 Typical High $16.22 | Professional | FX · Film X-ray | $12.88 | $16.22 | $16.22 |
Where Colorado sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 31st of 51
$30.20
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.