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 $91.20 Median $91.20 Typical High $239.88 | Facility | None | $91.20 | $91.20 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $93.33 Typical High $239.88 | Professional | None | $91.20 | $93.33 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $223.87 | Professional | None | $97.72 | $120.23 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $331.13 | Facility | None | $162.18 | $162.18 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $181.97 Typical High $331.13 | Professional | None | $114.82 | $181.97 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $190.55 Typical High $323.59 | Professional | None | $120.23 | $190.55 | $323.59 |
Oscar Health Setting Professional Modifier None Typical Low $147.91 Median $162.18 Typical High $173.78 | Professional | None | $147.91 | $162.18 | $173.78 |
United Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $288.40 | Professional | None | $100.00 | $147.91 | $288.40 |
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 $45.71 Median $45.71 Typical High $64.57 | Professional | 52 · Reduced service | $45.71 | $45.71 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $18.20 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $83.18 | Professional | FX · Film X-ray | $72.44 | $72.44 | $83.18 |
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· 36th of 51
$126
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.