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 $97.72 Median $97.72 Typical High $380.19 | Facility | None | $97.72 | $97.72 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $204.17 | Professional | None | $97.72 | $97.72 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $158.49 | Professional | None | $100.00 | $120.23 | $158.49 |
CareFirst Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $147.91 | Professional | None | $104.71 | $117.49 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $457.09 Typical High $870.96 | Facility | None | $269.15 | $457.09 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $141.25 Typical High $218.78 | Professional | None | $93.33 | $141.25 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $154.88 | Professional | None | $104.71 | $141.25 | $154.88 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $154.88 Typical High $190.55 | Professional | None | $151.36 | $154.88 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $194.98 | Facility | None | $154.88 | $154.88 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $154.88 | Professional | None | $102.33 | $102.33 | $154.88 |
Sentara Setting Facility Modifier None Typical Low $95.50 Median $177.83 Typical High $10,232.93 | Facility | None | $95.50 | $177.83 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $1,023.29 | Professional | None | $109.65 | $151.36 | $1,023.29 |
United Setting Professional Modifier None Typical Low $89.13 Median $147.91 Typical High $194.98 | Professional | None | $89.13 | $147.91 | $194.98 |
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 $48.98 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 53 · Discontinued | $19.50 | $19.50 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $77.62 | $77.62 | $77.62 |
Where Virginia 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.
Virginia· 37th 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.