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 $69.18 Median $69.18 Typical High $186.21 | Facility | None | $69.18 | $69.18 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $186.21 | Professional | None | $58.88 | $69.18 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $114.82 | Professional | None | $77.62 | $97.72 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $154.88 Typical High $223.87 | Facility | None | $141.25 | $154.88 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $208.93 | Professional | None | $74.13 | $100.00 | $208.93 |
CareSource Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $309.03 Typical High $380.19 | Facility | None | $141.25 | $309.03 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $288.40 | Professional | None | $75.86 | $102.33 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $165.96 Typical High $309.03 | Professional | None | $102.33 | $165.96 | $309.03 |
Oscar Health Setting Facility Modifier None Typical Low $616.60 Median $1,174.90 Typical High $2,951.21 | Facility | None | $616.60 | $1,174.90 | $2,951.21 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $144.54 | Professional | None | $125.89 | $134.90 | $144.54 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $239.88 | Professional | None | $77.62 | $112.20 | $239.88 |
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 $32.36 Median $34.67 Typical High $48.98 | Professional | 52 · Reduced service | $32.36 | $34.67 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.80 Typical High $19.95 | Professional | 53 · Discontinued | $13.18 | $13.80 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $54.95 Typical High $63.10 | Professional | FX · Film X-ray | $52.48 | $54.95 | $63.10 |
Where Georgia sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 41st of 51
$100
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.