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 $112.20 Median $213.80 Typical High $309.03 | Facility | None | $112.20 | $213.80 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $190.55 | Professional | None | $112.20 | $134.90 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $234.42 | Professional | None | $109.65 | $169.82 | $234.42 |
BCBS Kansas City Setting Facility Modifier None Typical Low $151.36 Median $181.97 Typical High $371.54 | Facility | None | $151.36 | $181.97 | $371.54 |
BCBS Kansas City Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $234.42 | Professional | None | $134.90 | $162.18 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $457.09 Typical High $630.96 | Facility | None | $251.19 | $457.09 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $275.42 | Professional | None | $123.03 | $147.91 | $275.42 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $316.23 Typical High $676.08 | Facility | None | $141.25 | $316.23 | $676.08 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $309.03 Typical High $831.76 | Professional | None | $125.89 | $309.03 | $831.76 |
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 $120.23 Median $147.91 Typical High $275.42 | Professional | None | $120.23 | $147.91 | $275.42 |
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 $56.23 Median $67.61 Typical High $72.44 | Professional | 52 · Reduced service | $56.23 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.92 Typical High $28.84 | Professional | 53 · Discontinued | $22.39 | $26.92 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $107.15 Typical High $114.82 | Professional | FX · Film X-ray | $89.13 | $107.15 | $114.82 |
Where Missouri 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.
Missouri· 28th of 51
$170
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.