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 $67.61 Median $69.18 Typical High $89.13 | Facility | None | $67.61 | $69.18 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $91.20 | Professional | None | $61.66 | $69.18 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $79.43 Typical High $107.15 | Professional | None | $63.10 | $79.43 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $104.71 | Facility | None | $54.95 | $66.07 | $104.71 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $107.15 | Professional | None | $64.57 | $89.13 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $138.04 Typical High $338.84 | Professional | None | $67.61 | $138.04 | $338.84 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $74.13 | Professional | None | $33.11 | $33.11 | $74.13 |
United Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $114.82 | Professional | None | $64.57 | $75.86 | $114.82 |
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 $30.90 Median $34.67 Typical High $45.71 | Professional | 52 · Reduced service | $30.90 | $34.67 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.80 Typical High $18.20 | Professional | 53 · Discontinued | $12.30 | $13.80 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $54.95 Typical High $54.95 | Professional | FX · Film X-ray | $52.48 | $54.95 | $54.95 |
Where Kentucky 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.
Kentucky· 41st of 51
$79.43
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.