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 $1,819.70 Median $1,819.70 Typical High $15,848.93 | Professional | None | $1,819.70 | $1,819.70 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $912.01 Typical High $1,513.56 | Professional | None | $549.54 | $912.01 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $1,905.46 Typical High $2,754.23 | Facility | None | $331.13 | $1,905.46 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $2,454.71 Typical High $2,691.53 | Professional | None | $1,096.48 | $2,454.71 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $2,691.53 Typical High $8,128.31 | Professional | None | $1,023.29 | $2,691.53 | $8,128.31 |
Oscar Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,348.96 | Professional | None | $1,174.90 | $1,230.27 | $1,348.96 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,202.26 Typical High $2,344.23 | Professional | None | $831.76 | $1,202.26 | $2,344.23 |
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 $128.82 Median $151.36 Typical High $162.18 | Professional | 53 · Discontinued | $128.82 | $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· 41st of 51
$912
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.