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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,630.27 Typical High $5,888.44 | Professional | None | $2,290.87 | $2,630.27 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $776.25 Typical High $1,380.38 | Professional | None | $144.54 | $776.25 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $5,011.87 | Facility | None | $2,398.83 | $3,890.45 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,344.23 | Professional | None | $1,288.25 | $1,288.25 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $4,897.79 Typical High $4,897.79 | Facility | None | $954.99 | $4,897.79 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $5,495.41 Typical High $7,413.10 | Professional | None | $870.96 | $5,495.41 | $7,413.10 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,168.69 | Facility | None | $3,981.07 | $3,981.07 | $4,168.69 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,949.84 | Professional | None | $707.95 | $1,023.29 | $1,949.84 |
3 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 $416.87 Median $512.86 Typical High $562.34 | Professional | 52 · Reduced service | $416.87 | $512.86 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $204.17 Typical High $213.80 | Professional | 53 · Discontinued | $165.96 | $204.17 | $213.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $660.69 Median $812.83 Typical High $851.14 | Professional | FX · Film X-ray | $660.69 | $812.83 | $851.14 |
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· 41st of 51
$977
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.