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 $13.49 Median $13.49 Typical High $16.98 | Facility | None | $13.49 | $13.49 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $16.22 Typical High $81.28 | Professional | None | $13.49 | $16.22 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $24.55 | Professional | None | $14.45 | $17.78 | $24.55 |
CareFirst Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $83.18 | Professional | None | $19.95 | $21.88 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $870.96 | Facility | None | $524.81 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $28.18 Typical High $131.83 | Professional | None | $16.22 | $28.18 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $27.54 | Professional | None | $19.05 | $24.55 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $102.33 Typical High $120.23 | Professional | None | $97.72 | $102.33 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $27.54 Median $123.03 Typical High $123.03 | Facility | None | $27.54 | $123.03 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $125.89 | Professional | None | $15.85 | $15.85 | $125.89 |
Sentara Setting Facility Modifier None Typical Low $10.00 Median $18.20 Typical High $10,232.93 | Facility | None | $10.00 | $18.20 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $10.00 Median $14.79 Typical High $75.86 | Professional | None | $10.00 | $14.79 | $75.86 |
United Setting Professional Modifier None Typical Low $15.14 Median $23.44 Typical High $104.71 | Professional | None | $15.14 | $23.44 | $104.71 |
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 $6.76 Median $7.76 Typical High $9.12 | Professional | 52 · Reduced service | $6.76 | $7.76 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.16 Typical High $3.63 | Professional | 53 · Discontinued | $2.69 | $3.16 | $3.63 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $10.96 Median $10.96 Typical High $13.80 | Professional | FX · Film X-ray | $10.96 | $10.96 | $13.80 |
Where Virginia 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.
Virginia· 50th of 51
$19.05
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.