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 $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $2,570.40 Typical High $6,456.54 | Professional | None | $933.25 | $2,570.40 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $912.01 Typical High $1,621.81 | Professional | None | $199.53 | $912.01 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $4,073.80 Typical High $5,495.41 | Facility | None | $2,398.83 | $4,073.80 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $3,388.44 Typical High $9,549.93 | Facility | None | $1,096.48 | $3,388.44 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,862.09 Typical High $11,481.54 | Professional | None | $977.24 | $1,862.09 | $11,481.54 |
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 $954.99 Median $1,148.15 Typical High $2,238.72 | Professional | None | $954.99 | $1,148.15 | $2,238.72 |
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 $457.09 Median $549.54 Typical High $645.65 | Professional | 52 · Reduced service | $457.09 | $549.54 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $218.78 Typical High $245.47 | Professional | 53 · Discontinued | $181.97 | $218.78 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $724.44 Median $870.96 Typical High $1,023.29 | Professional | FX · Film X-ray | $724.44 | $870.96 | $1,023.29 |
Where Missouri sits
The same service costs 70.8 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· 43rd of 51
$1,072
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.