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 $208.93 Median $426.58 Typical High $1,621.81 | Facility | None | $208.93 | $426.58 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $562.34 | Professional | None | $190.55 | $229.09 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $371.54 Typical High $707.95 | Professional | None | $288.40 | $371.54 | $707.95 |
BCBS Kansas City Setting Facility Modifier None Typical Low $100.00 Median $141.25 Typical High $389.05 | Facility | None | $100.00 | $141.25 | $389.05 |
BCBS Kansas City Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $707.95 | Professional | None | $436.52 | $478.63 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $851.14 Typical High $1,230.27 | Facility | None | $575.44 | $851.14 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $489.78 | Professional | None | $194.98 | $263.03 | $489.78 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $660.69 Typical High $2,187.76 | Facility | None | $234.42 | $660.69 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $524.81 Typical High $1,548.82 | Professional | None | $229.09 | $524.81 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,819.70 | Facility | None | $1,737.80 | $1,737.80 | $1,819.70 |
United Setting Professional Modifier None Typical Low $229.09 Median $295.12 Typical High $537.03 | Professional | None | $229.09 | $295.12 | $537.03 |
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 $95.50 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $95.50 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $44.67 Typical High $48.98 | Professional | 53 · Discontinued | $38.02 | $44.67 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $169.82 Typical High $194.98 | Professional | FX · Film X-ray | $151.36 | $169.82 | $194.98 |
Where Missouri 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.
Missouri· 30th of 51
$372
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.