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 $199.53 Median $199.53 Typical High $676.08 | Facility | None | $199.53 | $199.53 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $199.53 Typical High $512.86 | Professional | None | $194.98 | $199.53 | $512.86 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $295.12 | Professional | None | $128.82 | $177.83 | $295.12 |
CareSource Setting Facility Modifier None Typical Low $162.18 Median $194.98 Typical High $302.00 | Facility | None | $162.18 | $194.98 | $302.00 |
CareSource Setting Professional Modifier None Typical Low $190.55 Median $245.47 Typical High $309.03 | Professional | None | $190.55 | $245.47 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $691.83 Typical High $954.99 | Facility | None | $630.96 | $691.83 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $2,137.96 Typical High $2,137.96 | Professional | None | $199.53 | $2,137.96 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
United Setting Professional Modifier None Typical Low $147.91 Median $239.88 Typical High $389.05 | Professional | None | $147.91 | $239.88 | $389.05 |
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 $91.20 Median $100.00 Typical High $144.54 | Professional | 52 · Reduced service | $91.20 | $100.00 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $57.54 | Professional | 53 · Discontinued | $36.31 | $39.81 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $177.83 | Professional | FX · Film X-ray | $158.49 | $158.49 | $177.83 |
Where Kentucky 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.
Kentucky· 51st of 51
$182
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.