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 $10.96 Median $14.45 Typical High $66.07 | Facility | None | $10.96 | $14.45 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $19.95 | Professional | None | $14.13 | $16.60 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $8,128.31 Typical High $8,709.64 | Facility | None | $5,888.44 | $8,128.31 | $8,709.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $30.90 Typical High $138.04 | Professional | None | $14.13 | $30.90 | $138.04 |
BCBS Kansas City Setting Facility Modifier None Typical Low $21.38 Median $29.51 Typical High $63.10 | Facility | None | $21.38 | $29.51 | $63.10 |
BCBS Kansas City Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $109.65 | Professional | None | $18.62 | $20.42 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $24.55 Typical High $134.90 | Professional | None | $15.49 | $24.55 | $134.90 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $120.23 Typical High $331.13 | Facility | None | $19.05 | $120.23 | $331.13 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $102.33 Typical High $645.65 | Professional | None | $16.22 | $102.33 | $645.65 |
United Setting Professional Modifier None Typical Low $15.85 Median $22.91 Typical High $100.00 | Professional | None | $15.85 | $22.91 | $100.00 |
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 $7.08 Median $8.32 Typical High $9.77 | Professional | 52 · Reduced service | $7.08 | $8.32 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.39 Typical High $3.89 | Professional | 53 · Discontinued | $2.82 | $3.39 | $3.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $11.22 Median $13.49 Typical High $14.45 | Professional | FX · Film X-ray | $11.22 | $13.49 | $14.45 |
Where Missouri 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.
Missouri· 30th of 51
$30.20
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.