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 $93.33 Median $97.72 Typical High $371.54 | Facility | None | $93.33 | $97.72 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $194.98 | Professional | None | $93.33 | $97.72 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $158.49 | Professional | None | $100.00 | $120.23 | $158.49 |
CareFirst Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $141.25 | Professional | None | $107.15 | $112.20 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $416.87 Typical High $870.96 | Facility | None | $245.47 | $416.87 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $194.98 | Professional | None | $89.13 | $125.89 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $154.88 | Professional | None | $104.71 | $141.25 | $154.88 |
Medcost Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $165.96 | Professional | None | $131.83 | $134.90 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Facility | None | $138.04 | $138.04 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Sentara Setting Facility Modifier None Typical Low $89.13 Median $138.04 Typical High $10,232.93 | Facility | None | $89.13 | $138.04 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $354.81 | Professional | None | $97.72 | $138.04 | $354.81 |
United Setting Professional Modifier None Typical Low $83.18 Median $141.25 Typical High $186.21 | Professional | None | $83.18 | $141.25 | $186.21 |
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 $46.77 Median $46.77 Typical High $56.23 | Professional | 52 · Reduced service | $46.77 | $46.77 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $22.39 | Professional | 53 · Discontinued | $18.62 | $18.62 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $75.86 Typical High $77.62 | Professional | FX · Film X-ray | $74.13 | $75.86 | $77.62 |
Where Virginia 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.
Virginia· 35th of 51
$123
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.