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 $104.71 Median $107.15 Typical High $134.90 | Facility | None | $104.71 | $107.15 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $138.04 | Professional | None | $95.50 | $107.15 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $173.78 | Professional | None | $93.33 | $120.23 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $162.18 | Facility | None | $85.11 | $102.33 | $162.18 |
CareSource Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $165.96 | Professional | None | $102.33 | $141.25 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $208.93 Typical High $512.86 | Professional | None | $102.33 | $208.93 | $512.86 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $112.20 | Professional | None | $33.11 | $33.11 | $112.20 |
United Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $158.49 | Professional | None | $97.72 | $114.82 | $158.49 |
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 $47.86 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.38 Typical High $27.54 | Professional | 53 · Discontinued | $19.05 | $21.38 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $79.43 | $85.11 | $85.11 |
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· 42nd of 51
$120
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.