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 $60.26 Median $60.26 Typical High $158.49 | Facility | None | $60.26 | $60.26 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $61.66 Typical High $158.49 | Professional | None | $60.26 | $61.66 | $158.49 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $144.54 | Professional | None | $60.26 | $87.10 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $331.13 | Facility | None | $107.15 | $107.15 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $218.78 | Professional | None | $75.86 | $120.23 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $213.80 | Professional | None | $77.62 | $123.03 | $213.80 |
Oscar Health Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $112.20 | Professional | None | $95.50 | $104.71 | $112.20 |
United Setting Professional Modifier None Typical Low $66.07 Median $100.00 Typical High $190.55 | Professional | None | $66.07 | $100.00 | $190.55 |
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 $29.51 Median $30.20 Typical High $41.69 | Professional | 52 · Reduced service | $29.51 | $30.20 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.02 Typical High $16.60 | Professional | 53 · Discontinued | $11.75 | $12.02 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | FX · Film X-ray | $47.86 | $47.86 | $54.95 |
Where Georgia sits
The same service costs 4.2 times more in Alaska than in New York. 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· 34th of 51
$87.10
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.