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 $147.91 Median $151.36 Typical High $281.84 | Facility | None | $147.91 | $151.36 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $389.05 | Professional | None | $147.91 | $151.36 | $389.05 |
Ambetter Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $346.74 | Professional | None | $218.78 | $346.74 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $275.42 | Professional | None | $117.49 | $165.96 | $275.42 |
CareSource Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $229.09 | Facility | None | $123.03 | $147.91 | $229.09 |
CareSource Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $239.88 | Professional | None | $131.83 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $954.99 | Facility | None | $478.63 | $478.63 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $1,479.11 Typical High $1,479.11 | Professional | None | $151.36 | $1,479.11 | $1,479.11 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $338.84 | Professional | None | $251.19 | $263.03 | $338.84 |
United Setting Professional Modifier None Typical Low $131.83 Median $208.93 Typical High $302.00 | Professional | None | $131.83 | $208.93 | $302.00 |
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 $67.61 Median $75.86 Typical High $107.15 | Professional | 52 · Reduced service | $67.61 | $75.86 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.20 Typical High $43.65 | Professional | 53 · Discontinued | $27.54 | $30.20 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | FX · Film X-ray | $120.23 | $120.23 | $131.83 |
Where Kentucky 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.
Kentucky· 51st of 51
$166
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.