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 $380.19 Median $380.19 Typical High $1,513.56 | Facility | None | $380.19 | $380.19 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $794.33 | Professional | None | $380.19 | $380.19 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $616.60 | Professional | None | $398.11 | $467.74 | $616.60 |
CareFirst Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $575.44 | Professional | None | $416.87 | $457.09 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $44,668.36 | Facility | None | $776.25 | $1,174.90 | $44,668.36 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $831.76 | Professional | None | $354.81 | $537.03 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $616.60 | Professional | None | $416.87 | $562.34 | $616.60 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $588.84 Typical High $724.44 | Professional | None | $575.44 | $588.84 | $724.44 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $776.25 | Facility | None | $575.44 | $575.44 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $575.44 | Professional | None | $407.38 | $407.38 | $575.44 |
Sentara Setting Facility Modifier None Typical Low $371.54 Median $549.54 Typical High $10,232.93 | Facility | None | $371.54 | $549.54 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $1,380.38 | Professional | None | $416.87 | $562.34 | $1,380.38 |
United Setting Professional Modifier None Typical Low $346.74 Median $575.44 Typical High $741.31 | Professional | None | $346.74 | $575.44 | $741.31 |
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 $186.21 Median $190.55 Typical High $223.87 | Professional | 52 · Reduced service | $186.21 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $75.86 Typical High $89.13 | Professional | 53 · Discontinued | $74.13 | $75.86 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $309.03 Typical High $309.03 | Professional | FX · Film X-ray | $295.12 | $309.03 | $309.03 |
Where Virginia 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.
Virginia· 35th of 51
$501
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.