How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $46.77 Median $50.12 Typical High $50.12 | Facility | None | $46.77 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $57.54 | Professional | None | $46.77 | $50.12 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $131.83 Typical High $234.42 | Facility | None | $54.95 | $131.83 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $91.20 Typical High $281.84 | Professional | None | $56.23 | $91.20 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $97.72 Typical High $316.23 | Facility | None | $56.23 | $97.72 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $120.23 Typical High $331.13 | Professional | None | $61.66 | $120.23 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $562.34 | Professional | None | $54.95 | $72.44 | $562.34 |
Oscar Health Setting Professional Modifier None Typical Low $51.29 Median $83.18 Typical High $112.20 | Professional | None | $51.29 | $83.18 | $112.20 |
United Setting Professional Modifier None Typical Low $61.66 Median $114.82 Typical High $251.19 | Professional | None | $61.66 | $114.82 | $251.19 |
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 $23.44 Median $25.12 Typical High $28.84 | Professional | 52 · Reduced service | $23.44 | $25.12 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.00 Typical High $11.48 | Professional | 53 · Discontinued | $9.33 | $10.00 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $39.81 Typical High $45.71 | Professional | FX · Film X-ray | $37.15 | $39.81 | $45.71 |
Where Georgia sits
The same service costs 4.1 times more in Alaska than in Texas. 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.
Georgia· 29th of 51
$91.20
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.