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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,818.38 | Professional | None | $1,905.46 | $2,238.72 | $2,818.38 |
Hally Health Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $4,265.80 | Professional | None | $812.83 | $1,071.52 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $4,168.69 | Facility | None | $1,819.70 | $2,290.87 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $2,290.87 Typical High $7,413.10 | Professional | None | $891.25 | $2,290.87 | $7,413.10 |
Oscar Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,454.71 | Professional | None | $1,819.70 | $2,089.30 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $3,162.28 Typical High $3,981.07 | Facility | None | $1,862.09 | $3,162.28 | $3,981.07 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,096.48 Typical High $1,659.59 | Professional | None | $363.08 | $1,096.48 | $1,659.59 |
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 $316.23 Median $616.60 Typical High $1,479.11 | Facility | 53 · Discontinued | $316.23 | $616.60 | $1,479.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $794.33 Typical High $812.83 | Professional | 52 · Reduced service | $489.78 | $794.33 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $316.23 Typical High $323.59 | Professional | 53 · Discontinued | $194.98 | $316.23 | $323.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $1,258.93 Typical High $1,258.93 | Professional | FX · Film X-ray | $794.33 | $1,258.93 | $1,258.93 |
Where Iowa 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.
Iowa· 13th of 51
$1,862
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.