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 $354.81 Median $478.63 Typical High $26,915.35 | Facility | None | $354.81 | $478.63 | $26,915.35 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $954.99 | Professional | None | $354.81 | $398.11 | $954.99 |
Ambetter Setting Professional Modifier None Typical Low $346.74 Median $794.33 Typical High $1,000.00 | Professional | None | $346.74 | $794.33 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $22,387.21 Median $43,651.58 Typical High $56,234.13 | Facility | None | $22,387.21 | $43,651.58 | $56,234.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $512.86 Typical High $1,122.02 | Professional | None | $389.05 | $512.86 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $14,454.40 | Facility | None | $316.23 | $645.65 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $707.95 Typical High $1,445.44 | Professional | None | $446.68 | $707.95 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $1,202.26 | Professional | None | $478.63 | $758.58 | $1,202.26 |
Oscar Health Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $691.83 | Professional | None | $588.84 | $630.96 | $691.83 |
United Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $1,318.26 | Professional | None | $398.11 | $549.54 | $1,318.26 |
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 $177.83 Median $177.83 Typical High $257.04 | Professional | 52 · Reduced service | $177.83 | $177.83 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $72.44 Typical High $102.33 | Professional | 53 · Discontinued | $70.79 | $72.44 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $288.40 Typical High $323.59 | Professional | FX · Film X-ray | $288.40 | $288.40 | $323.59 |
Where Georgia sits
The same service costs 4.2 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.
Georgia· 33rd of 51
$513
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.