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 $1,737.80 Typical High $4,897.79 | Professional | None | $1,380.38 | $1,737.80 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $630.96 Typical High $1,122.02 | Professional | None | $100.00 | $630.96 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $2,951.21 Typical High $4,265.80 | Facility | None | $1,122.02 | $2,951.21 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,737.80 | Professional | None | $1,071.52 | $1,071.52 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $3,715.35 Typical High $4,168.69 | Facility | None | $831.76 | $3,715.35 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $4,570.88 Typical High $5,623.41 | Professional | None | $707.95 | $4,570.88 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,819.70 | Facility | None | $1,737.80 | $1,737.80 | $1,819.70 |
United Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,584.89 | Professional | None | $549.54 | $831.76 | $1,584.89 |
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 $141.25 Median $263.03 Typical High $398.11 | Facility | 53 · Discontinued | $141.25 | $263.03 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $436.52 Typical High $478.63 | Professional | 52 · Reduced service | $354.81 | $436.52 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $177.83 Typical High $190.55 | Professional | 53 · Discontinued | $141.25 | $177.83 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $562.34 Median $707.95 Typical High $741.31 | Professional | FX · Film X-ray | $562.34 | $707.95 | $741.31 |
Where Missouri 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.
Missouri· 38th of 51
$794
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.