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 $52.48 Median $52.48 Typical High $54.95 | Facility | None | $52.48 | $52.48 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $54.95 Typical High $54.95 | Professional | None | $50.12 | $54.95 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $245.47 | Facility | None | $151.36 | $190.55 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $91.20 | Professional | None | $53.70 | $66.07 | $91.20 |
CareFirst Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $85.11 | Professional | None | $56.23 | $61.66 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $173.78 Typical High $870.96 | Facility | None | $100.00 | $173.78 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $66.07 Typical High $263.03 | Professional | None | $42.66 | $66.07 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $70.79 | Professional | None | $47.86 | $53.70 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $363.08 | Professional | None | $288.40 | $346.74 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $239.88 Typical High $239.88 | Facility | None | $112.20 | $239.88 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $251.19 Typical High $251.19 | Professional | None | $56.23 | $251.19 | $251.19 |
Sentara Setting Facility Modifier None Typical Low $20.42 Median $67.61 Typical High $223.87 | Facility | None | $20.42 | $67.61 | $223.87 |
Sentara Setting Professional Modifier None Typical Low $26.30 Median $83.18 Typical High $269.15 | Professional | None | $26.30 | $83.18 | $269.15 |
United Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,621.81 | Facility | None | $660.69 | $724.44 | $1,621.81 |
United Setting Professional Modifier None Typical Low $48.98 Median $93.33 Typical High $302.00 | Professional | None | $48.98 | $93.33 | $302.00 |
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 $25.12 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $25.12 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.00 | $10.96 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $43.65 Typical High $43.65 | Professional | FX · Film X-ray | $41.69 | $43.65 | $43.65 |
Where Virginia 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.
Virginia· 44th of 51
$67.61
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.