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 $141.25 Median $141.25 Typical High $363.08 | Facility | None | $141.25 | $141.25 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $371.54 | Professional | None | $141.25 | $162.18 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $234.42 Typical High $331.13 | Professional | None | $138.04 | $234.42 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $346.74 | Professional | None | $144.54 | $199.53 | $346.74 |
CareSource Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $331.13 | Facility | None | $257.04 | $257.04 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $281.84 Typical High $512.86 | Professional | None | $177.83 | $281.84 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $302.00 Typical High $478.63 | Professional | None | $186.21 | $302.00 | $478.63 |
Oscar Health Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $269.15 | Professional | None | $229.09 | $251.19 | $269.15 |
United Setting Professional Modifier None Typical Low $158.49 Median $234.42 Typical High $446.68 | Professional | None | $158.49 | $234.42 | $446.68 |
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 $70.79 Median $70.79 Typical High $102.33 | Professional | 52 · Reduced service | $70.79 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $40.74 | Professional | 53 · Discontinued | $28.18 | $28.18 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $114.82 Typical High $128.82 | Professional | FX · Film X-ray | $112.20 | $114.82 | $128.82 |
Where Georgia 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.
Georgia· 31st of 51
$204
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.