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 $89.13 Median $162.18 Typical High $213.80 | Facility | None | $89.13 | $162.18 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $245.47 | Professional | None | $89.13 | $107.15 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $190.55 | Professional | None | $102.33 | $141.25 | $190.55 |
BCBS Kansas City Setting Facility Modifier None Typical Low $107.15 Median $138.04 Typical High $263.03 | Facility | None | $107.15 | $138.04 | $263.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $177.83 | Professional | None | $114.82 | $117.49 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $213.80 | Professional | None | $100.00 | $125.89 | $213.80 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $158.49 Typical High $501.19 | Facility | None | $120.23 | $158.49 | $501.19 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $245.47 Typical High $660.69 | Professional | None | $104.71 | $245.47 | $660.69 |
United Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $234.42 | Professional | None | $100.00 | $125.89 | $234.42 |
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 $43.65 Median $52.48 Typical High $56.23 | Professional | 52 · Reduced service | $43.65 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $21.38 Typical High $22.91 | Professional | 53 · Discontinued | $17.78 | $21.38 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $85.11 Typical High $91.20 | Professional | FX · Film X-ray | $70.79 | $85.11 | $91.20 |
Where Missouri sits
The same service costs 4.4 times more in Alaska than in New York. 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· 22nd of 51
$141
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.