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 $89.13 Median $162.18 Typical High $239.88 | Facility | None | $89.13 | $162.18 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $194.98 | Professional | None | $89.13 | $107.15 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $208.93 | Professional | None | $104.71 | $154.88 | $208.93 |
BCBS Kansas City Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $302.00 | Facility | None | $123.03 | $158.49 | $302.00 |
BCBS Kansas City Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $181.97 | Professional | None | $114.82 | $120.23 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $218.78 | Professional | None | $102.33 | $138.04 | $218.78 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $204.17 Typical High $501.19 | Facility | None | $120.23 | $204.17 | $501.19 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $245.47 Typical High $1,862.09 | Professional | None | $112.20 | $245.47 | $1,862.09 |
United Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $245.47 | Professional | None | $109.65 | $131.83 | $245.47 |
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 $44.67 Median $53.70 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $21.38 Typical High $22.91 | Professional | 53 · Discontinued | $17.78 | $21.38 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $85.11 Typical High $91.20 | Professional | FX · Film X-ray | $70.79 | $85.11 | $91.20 |
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· 21st of 51
$148
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.