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 $57.54 Median $104.71 Typical High $158.49 | Facility | None | $57.54 | $104.71 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $69.18 Typical High $162.18 | Professional | None | $57.54 | $69.18 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $138.04 | Professional | None | $69.18 | $102.33 | $138.04 |
BCBS Kansas City Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $204.17 | Facility | None | $81.28 | $104.71 | $204.17 |
BCBS Kansas City Setting Professional Modifier None Typical Low $75.86 Median $77.62 Typical High $117.49 | Professional | None | $75.86 | $77.62 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $147.91 | Professional | None | $66.07 | $91.20 | $147.91 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $134.90 Typical High $371.54 | Facility | None | $77.62 | $134.90 | $371.54 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $162.18 Typical High $1,412.54 | Professional | None | $74.13 | $162.18 | $1,412.54 |
United Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $162.18 | Professional | None | $72.44 | $85.11 | $162.18 |
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 $28.84 Median $34.67 Typical High $37.15 | Professional | 52 · Reduced service | $28.84 | $34.67 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.80 Typical High $15.14 | Professional | 53 · Discontinued | $11.75 | $13.80 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $54.95 Typical High $60.26 | Professional | FX · Film X-ray | $46.77 | $54.95 | $60.26 |
Where Missouri 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.
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.