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 Professional Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $11,481.54 | Professional | None | $1,380.38 | $1,584.89 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $776.25 Typical High $1,122.02 | Professional | None | $269.15 | $776.25 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $1,778.28 Typical High $2,754.23 | Facility | None | $331.13 | $1,778.28 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $2,344.23 Typical High $2,630.27 | Professional | None | $1,071.52 | $2,344.23 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $5,754.40 | Professional | None | $1,023.29 | $1,479.11 | $5,754.40 |
Oscar Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $1,288.25 | Professional | None | $1,148.15 | $1,202.26 | $1,288.25 |
United Setting Professional Modifier None Typical Low $91.20 Median $1,047.13 Typical High $2,238.72 | Professional | None | $91.20 | $1,047.13 | $2,238.72 |
4 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 Facility Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $288.40 | Facility | 53 · Discontinued | $151.36 | $151.36 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $371.54 Typical High $407.38 | Professional | 52 · Reduced service | $316.23 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $151.36 Typical High $162.18 | Professional | 53 · Discontinued | $125.89 | $151.36 | $162.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $512.86 Median $602.56 Typical High $616.60 | Professional | FX · Film X-ray | $512.86 | $602.56 | $616.60 |
Where Georgia sits
The same service costs 64.6 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· 34th of 51
$891
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.