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 $8.51 Median $16.60 Typical High $63.10 | Facility | None | $8.51 | $16.60 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $63.10 | Professional | None | $8.51 | $10.23 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $33.11 Typical High $44.67 | Facility | None | $17.38 | $33.11 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $34.67 | Professional | None | $10.96 | $16.98 | $34.67 |
CareSource Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $316.23 Typical High $331.13 | Facility | None | $42.66 | $316.23 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $30.20 Typical High $45.71 | Professional | None | $2.45 | $30.20 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.87 Median $1.41 Typical High $63.10 | Professional | None | $0.87 | $1.41 | $63.10 |
Oscar Health Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $26.30 | Professional | None | $21.38 | $23.99 | $26.30 |
United Setting Professional Modifier None Typical Low $8.71 Median $19.05 Typical High $40.74 | Professional | None | $8.71 | $19.05 | $40.74 |
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 $4.68 Median $5.01 Typical High $7.24 | Professional | 52 · Reduced service | $4.68 | $5.01 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.00 Typical High $2.95 | Professional | 53 · Discontinued | $1.86 | $2.00 | $2.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $7.59 Median $7.94 Typical High $10.47 | Professional | FX · Film X-ray | $7.59 | $7.94 | $10.47 |
Where Georgia sits
The same service costs 5.5 times more in Alaska than in Florida. 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· 32nd of 51
$16.98
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.