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 $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $57.54 | Professional | None | $45.71 | $46.77 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $457.09 | Facility | None | $177.83 | $245.47 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $138.04 | Professional | None | $52.48 | $52.48 | $138.04 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $75.86 Typical High $707.95 | Facility | None | $48.98 | $75.86 | $707.95 |
Medica Setting Professional Modifier None Typical Low $57.54 Median $194.98 Typical High $2,884.03 | Professional | None | $57.54 | $194.98 | $2,884.03 |
United Setting Facility Modifier None Typical Low $154.88 Median $562.34 Typical High $912.01 | Facility | None | $154.88 | $562.34 | $912.01 |
United Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $194.98 | Professional | None | $52.48 | $61.66 | $194.98 |
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 $22.91 Median $23.44 Typical High $28.18 | Professional | 52 · Reduced service | $22.91 | $23.44 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $11.48 | Professional | 53 · Discontinued | $9.33 | $9.33 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $37.15 Typical High $41.69 | Professional | FX · Film X-ray | $37.15 | $37.15 | $41.69 |
Where Oklahoma 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.
Oklahoma· 39th of 51
$75.86
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.