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 $109.65 Median $109.65 Typical High $302.00 | Facility | None | $109.65 | $109.65 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $109.65 Typical High $218.78 | Professional | None | $102.33 | $109.65 | $218.78 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $186.21 Typical High $204.17 | Professional | None | $102.33 | $186.21 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $229.09 Typical High $295.12 | Facility | None | $186.21 | $229.09 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $275.42 | Professional | None | $114.82 | $154.88 | $275.42 |
CareSource Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $380.19 | Facility | None | $229.09 | $316.23 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $190.55 Typical High $478.63 | Professional | None | $128.82 | $190.55 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $363.08 | Professional | None | $169.82 | $269.15 | $363.08 |
Oscar Health Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $239.88 | Professional | None | $208.93 | $218.78 | $239.88 |
United Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $398.11 | Professional | None | $125.89 | $165.96 | $398.11 |
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 $51.29 Median $54.95 Typical High $79.43 | Professional | 52 · Reduced service | $51.29 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $31.62 | Professional | 53 · Discontinued | $20.89 | $21.88 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $87.10 Typical High $102.33 | Professional | FX · Film X-ray | $83.18 | $87.10 | $102.33 |
Where Georgia sits
The same service costs 4.1 times more in Alaska than in New York. 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· 40th of 51
$155
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.