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 $141.25 Median $165.96 Typical High $316.23 | Facility | None | $141.25 | $165.96 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $223.87 | Professional | None | $141.25 | $165.96 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $380.19 Typical High $416.87 | Professional | None | $208.93 | $380.19 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $269.15 Typical High $537.03 | Facility | None | $154.88 | $269.15 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $245.47 Typical High $416.87 | Professional | None | $102.33 | $245.47 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $478.63 Typical High $758.58 | Facility | None | $269.15 | $478.63 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $275.42 Typical High $645.65 | Professional | None | $151.36 | $275.42 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $380.19 Typical High $630.96 | Professional | None | $194.98 | $380.19 | $630.96 |
Oscar Health Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $588.84 | Professional | None | $245.47 | $331.13 | $588.84 |
United Setting Professional Modifier None Typical Low $107.15 Median $251.19 Typical High $660.69 | Professional | None | $107.15 | $251.19 | $660.69 |
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 $69.18 Median $83.18 Typical High $87.10 | Professional | 52 · Reduced service | $69.18 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $33.11 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $33.11 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $134.90 Typical High $138.04 | Professional | FX · Film X-ray | $112.20 | $134.90 | $138.04 |
Where Georgia sits
The same service costs 4.3 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.
Georgia· 39th of 51
$245
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.