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 $234.42 Median $295.12 Typical High $933.25 | Facility | None | $234.42 | $295.12 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $467.74 | Professional | None | $234.42 | $234.42 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $323.59 | Professional | None | $208.93 | $239.88 | $323.59 |
CareFirst Setting Professional Modifier None Typical Low $112.20 Median $263.03 Typical High $346.74 | Professional | None | $112.20 | $263.03 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $676.08 Typical High $891.25 | Facility | None | $489.78 | $676.08 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $512.86 | Professional | None | $158.49 | $223.87 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $512.86 Typical High $562.34 | Professional | None | $389.05 | $512.86 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $208.93 Typical High $257.04 | Professional | None | $128.82 | $208.93 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $354.81 | Facility | None | $288.40 | $288.40 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | None | $218.78 | $218.78 | $288.40 |
Sentara Setting Facility Modifier None Typical Low $97.72 Median $478.63 Typical High $4,570.88 | Facility | None | $97.72 | $478.63 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $107.15 Median $346.74 Typical High $891.25 | Professional | None | $107.15 | $346.74 | $891.25 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $2,570.40 | Facility | None | $1,047.13 | $1,148.15 | $2,570.40 |
United Setting Professional Modifier None Typical Low $125.89 Median $338.84 Typical High $446.68 | Professional | None | $125.89 | $338.84 | $446.68 |
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 $114.82 Median $117.49 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $46.77 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $186.21 | $190.55 | $190.55 |
Where Virginia 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.
Virginia· 44th of 51
$263
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.