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 $257.04 Median $1,096.48 Typical High $1,737.80 | Facility | None | $257.04 | $1,096.48 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $323.59 | Professional | None | $147.91 | $173.78 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $181.97 | Professional | None | $123.03 | $141.25 | $181.97 |
BCBS Setting Facility Modifier None Typical Low $144.54 Median $630.96 Typical High $933.25 | Facility | None | $144.54 | $630.96 | $933.25 |
BCBS Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $407.38 | Professional | None | $169.82 | $190.55 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $616.60 Typical High $741.31 | Facility | None | $512.86 | $616.60 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $295.12 | Professional | None | $141.25 | $173.78 | $295.12 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $389.05 | Facility | None | $173.78 | $194.98 | $389.05 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $389.05 Typical High $2,511.89 | Professional | None | $190.55 | $389.05 | $2,511.89 |
United Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $338.84 | Professional | None | $173.78 | $208.93 | $338.84 |
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 $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $141.25 | $141.25 | $141.25 |
Where Arizona sits
The same service costs 4.5 times more in Alaska than in Florida. 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.
Arizona· 28th of 51
$209
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.