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 $363.08 Median $1,380.38 Typical High $1,949.84 | Professional | None | $363.08 | $1,380.38 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $407.38 | Professional | None | $269.15 | $323.59 | $407.38 |
CareFirst Setting Professional Modifier None Typical Low $204.17 Median $954.99 Typical High $1,202.26 | Professional | None | $204.17 | $954.99 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,862.09 | $2,754.23 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,380.38 | Professional | None | $954.99 | $1,230.27 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,258.93 | Professional | None | $812.83 | $812.83 | $1,258.93 |
Sentara Setting Facility Modifier None Typical Low $758.58 Median $1,318.26 Typical High $10,232.93 | Facility | None | $758.58 | $1,318.26 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $4,466.84 | Professional | None | $831.76 | $1,288.25 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $2,570.40 | Facility | None | $1,047.13 | $1,148.15 | $2,570.40 |
United Setting Professional Modifier None Typical Low $66.07 Median $977.24 Typical High $1,479.11 | Professional | None | $66.07 | $977.24 | $1,479.11 |
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 $144.54 Median $173.78 Typical High $562.34 | Facility | 53 · Discontinued | $144.54 | $173.78 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $389.05 Typical High $524.81 | Professional | 52 · Reduced service | $363.08 | $389.05 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $158.49 Typical High $208.93 | Professional | 53 · Discontinued | $144.54 | $158.49 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $575.44 Median $575.44 Typical High $691.83 | Professional | FX · Film X-ray | $575.44 | $575.44 | $691.83 |
Where Virginia 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.
Virginia· 46th of 51
$355
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.