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 $81.28 Median $81.28 Typical High $144.54 | Facility | None | $81.28 | $81.28 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $114.82 | Professional | None | $58.88 | $81.28 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $102.33 Typical High $102.33 | Professional | None | $66.07 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $165.96 | Professional | None | $43.65 | $53.70 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $125.89 | Facility | None | $66.07 | $89.13 | $125.89 |
CareSource Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $125.89 | Professional | None | $77.62 | $100.00 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $478.63 | Facility | None | $144.54 | $144.54 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $162.18 Typical High $489.78 | Professional | None | $75.86 | $162.18 | $489.78 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $117.49 | Professional | None | $52.48 | $77.62 | $117.49 |
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 $37.15 Median $40.74 Typical High $48.98 | Professional | 52 · Reduced service | $37.15 | $40.74 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.22 Typical High $19.95 | Professional | 53 · Discontinued | $14.79 | $16.22 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $64.57 Typical High $66.07 | Professional | FX · Film X-ray | $63.10 | $64.57 | $66.07 |
Where Kentucky 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.
Kentucky· 51st of 51
$81.28
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.