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 $44.67 Median $51.29 Typical High $51.29 | Facility | None | $44.67 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $51.29 Typical High $58.88 | Professional | None (both parts) | $44.67 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $16.60 | Professional | 26 · Professional part | $13.49 | $14.45 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $43.65 | Professional | TC · Technical part | $30.90 | $36.31 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $75.86 Typical High $151.36 | Facility | None | $38.90 | $75.86 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $66.07 Typical High $114.82 | Professional | None (both parts) | $39.81 | $66.07 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.38 Typical High $35.48 | Professional | 26 · Professional part | $15.14 | $21.38 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $44.67 Typical High $83.18 | Professional | TC · Technical part | $30.20 | $44.67 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $97.72 Typical High $269.15 | Facility | None | $67.61 | $97.72 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $48.98 | $83.18 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $16.98 | $27.54 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $51.29 Typical High $123.03 | Professional | TC · Technical part | $32.36 | $51.29 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $128.82 | Professional | None | $63.10 | $85.11 | $128.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $18.62 | $24.55 | $43.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $58.88 Typical High $128.82 | Professional | TC · Technical part | $45.71 | $58.88 | $128.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $17.78 Median $57.54 Typical High $102.33 | Professional | None (both parts) | $17.78 | $57.54 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $70.79 Typical High $141.25 | Professional | None (both parts) | $45.71 | $70.79 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $23.44 Typical High $40.74 | Professional | 26 · Professional part | $15.49 | $23.44 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $48.98 Typical High $100.00 | Professional | TC · Technical part | $30.90 | $48.98 | $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 $22.39 Median $25.70 Typical High $29.51 | Professional | 52 · Reduced service | $22.39 | $25.70 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.23 Typical High $12.02 | Professional | 53 · Discontinued | $8.91 | $10.23 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $40.74 Typical High $45.71 | Professional | FX · Film X-ray | $35.48 | $40.74 | $45.71 |
Where Georgia sits
The same service costs 5.6 times more in Alaska than in Utah. 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· 25th of 51
$66.07
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.