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 $51.29 Median $51.29 Typical High $213.80 | Facility | None | $51.29 | $51.29 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $61.66 | Professional | None | $51.29 | $56.23 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $112.20 Typical High $338.84 | Professional | None | $60.26 | $112.20 | $338.84 |
BCBS Kansas City Setting Facility Modifier None Typical Low $134.90 Median $186.21 Typical High $457.09 | Facility | None | $134.90 | $186.21 | $457.09 |
BCBS Kansas City Setting Professional Modifier None Typical Low $54.95 Median $56.23 Typical High $85.11 | Professional | None | $54.95 | $56.23 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $239.88 Typical High $1,819.70 | Facility | None | $134.90 | $239.88 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $70.79 Typical High $218.78 | Professional | None | $42.66 | $70.79 | $218.78 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $234.42 Typical High $1,071.52 | Facility | None | $66.07 | $234.42 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $2,884.03 Typical High $2,884.03 | Professional | None | $66.07 | $2,884.03 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,096.48 | $1,096.48 | $1,174.90 |
United Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $199.53 | Professional | None | $60.26 | $81.28 | $199.53 |
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 $25.70 Median $28.18 Typical High $32.36 | Professional | 52 · Reduced service | $25.70 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.22 Typical High $12.88 | Professional | 53 · Discontinued | $10.23 | $11.22 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $44.67 Typical High $50.12 | Professional | FX · Film X-ray | $40.74 | $44.67 | $50.12 |
Where Missouri 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.
Missouri· 23rd of 51
$97.72
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.