How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $416.87 Median $416.87 Typical High $512.86 | Facility | None | $416.87 | $416.87 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $707.95 | Professional | None | $380.19 | $416.87 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $446.68 Typical High $660.69 | Professional | None | $346.74 | $446.68 | $660.69 |
CareSource Setting Facility Modifier None Typical Low $338.84 Median $407.38 Typical High $630.96 | Facility | None | $338.84 | $407.38 | $630.96 |
CareSource Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $660.69 | Professional | None | $363.08 | $562.34 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $776.25 Typical High $2,041.74 | Professional | None | $407.38 | $776.25 | $2,041.74 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $446.68 | Professional | None | $33.11 | $33.11 | $446.68 |
United Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $630.96 | Professional | None | $363.08 | $436.52 | $630.96 |
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 $190.55 Median $208.93 Typical High $275.42 | Professional | 52 · Reduced service | $190.55 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $83.18 Typical High $109.65 | Professional | 53 · Discontinued | $75.86 | $83.18 | $109.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $331.13 Typical High $331.13 | Professional | FX · Film X-ray | $309.03 | $331.13 | $331.13 |
Where Kentucky 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.
Kentucky· 44th of 51
$447
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.