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 $75.86 Median $120.23 Typical High $147.91 | Facility | None | $75.86 | $120.23 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $134.90 | Professional | None | $69.18 | $75.86 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $134.90 | Professional | None | $70.79 | $85.11 | $134.90 |
BCBS Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $173.78 | Professional | None | $64.57 | $81.28 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $398.11 Typical High $524.81 | Facility | None | $128.82 | $398.11 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $213.80 | Professional | None | $70.79 | $100.00 | $213.80 |
Lucent Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $812.83 | Professional | None | $707.95 | $707.95 | $812.83 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $147.91 | Facility | None | $138.04 | $138.04 | $147.91 |
United Setting Professional Modifier None Typical Low $57.54 Median $97.72 Typical High $213.80 | Professional | None | $57.54 | $97.72 | $213.80 |
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 $36.31 Median $38.02 Typical High $72.44 | Professional | 52 · Reduced service | $36.31 | $38.02 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $28.84 | Professional | 53 · Discontinued | $14.45 | $15.14 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $60.26 Typical High $120.23 | Professional | FX · Film X-ray | $54.95 | $60.26 | $120.23 |
Where Tennessee 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.
Tennessee· 30th of 51
$110
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.