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 $128.82 Typical High $194.98 | Facility | None | $69.18 | $128.82 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $117.49 | Professional | None | $66.07 | $83.18 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $112.20 Typical High $165.96 | Professional | None | $70.79 | $112.20 | $165.96 |
BCBS Setting Facility Modifier None Typical Low $64.57 Median $128.82 Typical High $316.23 | Facility | None | $64.57 | $128.82 | $316.23 |
BCBS Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $147.91 | Professional | None | $87.10 | $100.00 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $457.09 Typical High $630.96 | Facility | None | $131.83 | $457.09 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $169.82 | Professional | None | $70.79 | $91.20 | $169.82 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $190.55 Typical High $524.81 | Facility | None | $81.28 | $190.55 | $524.81 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $194.98 Typical High $707.95 | Professional | None | $66.07 | $194.98 | $707.95 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $446.68 | Facility | None | $426.58 | $426.58 | $446.68 |
United Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $173.78 | Professional | None | $64.57 | $91.20 | $173.78 |
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 $34.67 Median $41.69 Typical High $44.67 | Professional | 52 · Reduced service | $34.67 | $41.69 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.60 Typical High $18.20 | Professional | 53 · Discontinued | $14.13 | $16.60 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $66.07 Typical High $72.44 | Professional | FX · Film X-ray | $56.23 | $66.07 | $72.44 |
Where Missouri 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.
Missouri· 27th of 51
$112
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.