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 $190.55 Median $223.87 Typical High $426.58 | Facility | None | $190.55 | $223.87 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $229.09 | Professional | None | $186.21 | $223.87 | $229.09 |
Ambetter Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $549.54 | Professional | None | $295.12 | $338.84 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $295.12 Typical High $512.86 | Facility | None | $173.78 | $295.12 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $338.84 Typical High $524.81 | Professional | None | $114.82 | $338.84 | $524.81 |
CareSource Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $630.96 Typical High $758.58 | Facility | None | $316.23 | $630.96 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $363.08 Typical High $851.14 | Professional | None | $199.53 | $363.08 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $512.86 Typical High $912.01 | Professional | None | $213.80 | $512.86 | $912.01 |
Oscar Health Setting Facility Modifier None Typical Low $436.52 Median $933.25 Typical High $1,737.80 | Facility | None | $436.52 | $933.25 | $1,737.80 |
Oscar Health Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $602.56 | Professional | None | $309.03 | $323.59 | $602.56 |
United Setting Professional Modifier None Typical Low $120.23 Median $309.03 Typical High $954.99 | Professional | None | $120.23 | $309.03 | $954.99 |
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 $93.33 Median $112.20 Typical High $114.82 | Professional | 52 · Reduced service | $93.33 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $44.67 Typical High $45.71 | Professional | 53 · Discontinued | $37.15 | $44.67 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $177.83 Typical High $186.21 | Professional | FX · Film X-ray | $147.91 | $177.83 | $186.21 |
Where Georgia sits
The same service costs 5.1 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· 33rd of 51
$331
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.