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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $2,884.03 | Professional | None | $741.31 | $812.83 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,412.54 | Professional | None | $630.96 | $1,023.29 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $2,238.72 Typical High $3,235.94 | Facility | None | $331.13 | $2,238.72 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $3,467.37 | Professional | None | $1,258.93 | $3,090.30 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $4,570.88 | Professional | None | $1,202.26 | $3,090.30 | $4,570.88 |
Oscar Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,230.27 | $1,288.25 | $1,412.54 |
United Setting Professional Modifier None Typical Low $102.33 Median $1,288.25 Typical High $2,754.23 | Professional | None | $102.33 | $1,288.25 | $2,754.23 |
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 Professional Modifier 52 · Reduced service Typical Low $371.54 Median $436.52 Typical High $467.74 | Professional | 52 · Reduced service | $371.54 | $436.52 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $173.78 Typical High $190.55 | Professional | 53 · Discontinued | $147.91 | $173.78 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $588.84 Median $691.83 Typical High $724.44 | Professional | FX · Film X-ray | $588.84 | $691.83 | $724.44 |
Ambetter Setting Professional Modifier 77 · Repeat, other provider Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 77 · Repeat, other provider | $1,230.27 | $1,230.27 | $1,230.27 |
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· 38th of 51
$1,047
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.