How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $16.98 Median $16.98 Typical High $85.11 | Facility | None | $16.98 | $16.98 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $16.98 Typical High $20.42 | Professional | None | $15.49 | $16.98 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $89.13 Typical High $107.15 | Professional | None | $16.60 | $89.13 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $6.61 Median $10.00 Typical High $18.62 | Facility | None | $6.61 | $10.00 | $18.62 |
CareSource Setting Professional Modifier None Typical Low $6.61 Median $8.91 Typical High $10.96 | Professional | None | $6.61 | $8.91 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $144.54 Typical High $331.13 | Professional | None | $15.85 | $144.54 | $331.13 |
Molina Setting Professional Modifier None Typical Low $18.20 Median $33.11 Typical High $33.11 | Professional | None | $18.20 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $14.45 Median $72.44 Typical High $95.50 | Professional | None | $14.45 | $72.44 | $95.50 |
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 $7.76 Median $8.51 Typical High $10.23 | Professional | 52 · Reduced service | $7.76 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.39 Typical High $4.07 | Professional | 53 · Discontinued | $3.09 | $3.39 | $4.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.59 Median $13.49 Typical High $13.49 | Professional | FX · Film X-ray | $12.59 | $13.49 | $13.49 |
Where Kentucky 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.
Kentucky· 3rd of 51
$85.11
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.