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 $13.18 Median $13.18 Typical High $13.80 | Facility | None | $13.18 | $13.18 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $13.18 Typical High $19.50 | Professional | None | $12.30 | $13.18 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $52.48 Typical High $117.49 | Facility | None | $35.48 | $52.48 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $39.81 Typical High $158.49 | Professional | None | $15.14 | $39.81 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $331.13 | Facility | None | $11.75 | $11.75 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $52.48 Typical High $151.36 | Professional | None | $16.98 | $52.48 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $33.88 Typical High $208.93 | Professional | None | $20.89 | $33.88 | $208.93 |
Oscar Health Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $30.20 | Professional | None | $25.70 | $28.18 | $30.20 |
United Setting Professional Modifier None Typical Low $15.49 Median $43.65 Typical High $109.65 | Professional | None | $15.49 | $43.65 | $109.65 |
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 $6.17 Median $6.61 Typical High $9.77 | Professional | 52 · Reduced service | $6.17 | $6.61 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.63 Typical High $3.89 | Professional | 53 · Discontinued | $2.45 | $2.63 | $3.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $10.00 Median $10.47 Typical High $13.49 | Professional | FX · Film X-ray | $10.00 | $10.47 | $13.49 |
Where Georgia sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 18th of 51
$38.02
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.