How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $131.83 Median $134.90 Typical High $141.25 | Facility | None | $131.83 | $134.90 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $186.21 | Professional | None | $120.23 | $134.90 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $194.98 | Professional | None | $91.20 | $117.49 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $204.17 | Facility | None | $109.65 | $131.83 | $204.17 |
CareSource Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $204.17 | Professional | None | $128.82 | $165.96 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $478.63 | Facility | None | $234.42 | $234.42 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $229.09 Typical High $724.44 | Professional | None | $125.89 | $229.09 | $724.44 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $147.91 | Professional | None | $33.11 | $33.11 | $147.91 |
United Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $186.21 | Professional | None | $104.71 | $123.03 | $186.21 |
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 $60.26 Median $67.61 Typical High $79.43 | Professional | 52 · Reduced service | $60.26 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $24.55 | $26.92 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $102.33 | $107.15 | $107.15 |
Where Kentucky 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.
Kentucky· 48th of 51
$135
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.