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 $151.36 Median $151.36 Typical High $602.56 | Facility | None | $151.36 | $151.36 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $316.23 | Professional | None | $151.36 | $165.96 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $245.47 | Professional | None | $154.88 | $186.21 | $245.47 |
CareFirst Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $229.09 | Professional | None | $165.96 | $181.97 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $602.56 Typical High $870.96 | Facility | None | $398.11 | $602.56 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $323.59 | Professional | None | $141.25 | $213.80 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $407.38 | Professional | None | $165.96 | $223.87 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $229.09 Typical High $281.84 | Professional | None | $223.87 | $229.09 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $309.03 | Facility | None | $229.09 | $229.09 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $229.09 | Professional | None | $162.18 | $162.18 | $229.09 |
Sentara Setting Facility Modifier None Typical Low $147.91 Median $275.42 Typical High $10,232.93 | Facility | None | $147.91 | $275.42 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $1,621.81 | Professional | None | $162.18 | $223.87 | $1,621.81 |
United Setting Professional Modifier None Typical Low $134.90 Median $229.09 Typical High $295.12 | Professional | None | $134.90 | $229.09 | $295.12 |
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 $74.13 Median $75.86 Typical High $89.13 | Professional | 52 · Reduced service | $74.13 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $35.48 | Professional | 53 · Discontinued | $29.51 | $30.20 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $117.49 | $120.23 | $120.23 |
Where Virginia 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.
Virginia· 36th of 51
$195
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.