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 $2,398.83 Typical High $2,884.03 | Professional | None | $363.08 | $2,398.83 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,071.52 | Professional | None | $724.44 | $851.14 | $1,071.52 |
CareFirst Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,380.38 | Professional | None | $1,096.48 | $1,230.27 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $4,168.69 Typical High $6,025.60 | Facility | None | $2,187.76 | $4,168.69 | $6,025.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $1,584.89 | Professional | None | $1,096.48 | $1,412.54 | $1,584.89 |
Medcost Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,479.11 | Professional | None | $933.25 | $933.25 | $1,479.11 |
Sentara Setting Facility Modifier None Typical Low $870.96 Median $1,479.11 Typical High $10,232.93 | Facility | None | $870.96 | $1,479.11 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $933.25 Median $1,445.44 Typical High $4,677.35 | Professional | None | $933.25 | $1,445.44 | $4,677.35 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $2,630.27 Typical High $5,754.40 | Facility | None | $2,344.23 | $2,630.27 | $5,754.40 |
United Setting Professional Modifier None Typical Low $74.13 Median $1,122.02 Typical High $1,698.24 | Professional | None | $74.13 | $1,122.02 | $1,698.24 |
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 $169.82 Median $199.53 Typical High $660.69 | Facility | 53 · Discontinued | $169.82 | $199.53 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $457.09 Typical High $602.56 | Professional | 52 · Reduced service | $416.87 | $457.09 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $181.97 Typical High $239.88 | Professional | 53 · Discontinued | $169.82 | $181.97 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $676.08 Median $676.08 Typical High $812.83 | Professional | FX · Film X-ray | $676.08 | $676.08 | $812.83 |
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· 45th of 51
$933
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.