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 $13.49 Median $22.91 Typical High $38.02 | Facility | None | $13.49 | $22.91 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $23.99 | Professional | None | $9.33 | $13.49 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $21.88 | Professional | None | $14.13 | $16.98 | $21.88 |
CareFirst Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $28.18 | Professional | None | $16.98 | $19.05 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $870.96 | Facility | None | $524.81 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $35.48 Typical High $50.12 | Professional | None | $21.38 | $35.48 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.62 Median $0.78 Typical High $0.93 | Professional | None | $0.62 | $0.78 | $0.93 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $35.48 | Professional | None | $28.84 | $33.11 | $35.48 |
Medcost Setting Facility Modifier None Typical Low $20.42 Median $21.88 Typical High $21.88 | Facility | None | $20.42 | $21.88 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $20.42 | Professional | None | $12.59 | $12.59 | $20.42 |
Sentara Setting Facility Modifier None Typical Low $12.59 Median $25.12 Typical High $4,570.88 | Facility | None | $12.59 | $25.12 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $14.13 Median $22.39 Typical High $933.25 | Professional | None | $14.13 | $22.39 | $933.25 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $32.36 | Professional | None | $10.96 | $16.22 | $32.36 |
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 $5.01 Median $6.17 Typical High $6.92 | Professional | 52 · Reduced service | $5.01 | $6.17 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.45 Typical High $2.75 | Professional | 53 · Discontinued | $2.04 | $2.45 | $2.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $8.13 Median $8.13 Typical High $10.72 | Professional | FX · Film X-ray | $8.13 | $8.13 | $10.72 |
Where Virginia 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.
Virginia· 29th of 51
$17.78
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.