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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $41.69 Typical High $123.03 | Professional | None (both parts) | $36.31 | $41.69 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $38.02 | Professional | 26 · Professional part | $10.96 | $12.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $87.10 | Professional | TC · Technical part | $25.12 | $29.51 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $60.26 Typical High $117.49 | Facility | None | $38.02 | $60.26 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $51.29 Typical High $91.20 | Professional | None (both parts) | $36.31 | $51.29 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.78 Typical High $28.18 | Professional | 26 · Professional part | $12.59 | $17.78 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $67.61 | Professional | TC · Technical part | $26.92 | $38.90 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $75.86 Typical High $269.15 | Facility | None | $51.29 | $75.86 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $70.79 Typical High $131.83 | Professional | None (both parts) | $42.66 | $70.79 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $21.38 Typical High $36.31 | Professional | 26 · Professional part | $13.80 | $21.38 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $46.77 Typical High $95.50 | Professional | TC · Technical part | $29.51 | $46.77 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $123.03 | Professional | None | $52.48 | $69.18 | $123.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $40.74 | Professional | 26 · Professional part | $14.45 | $19.05 | $40.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $123.03 | Professional | TC · Technical part | $38.02 | $48.98 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $41.69 | $60.26 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $18.62 Typical High $32.36 | Professional | 26 · Professional part | $12.59 | $18.62 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $40.74 Typical High $75.86 | Professional | TC · Technical part | $28.84 | $40.74 | $75.86 |
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 $17.78 Median $20.42 Typical High $22.91 | Professional | 52 · Reduced service | $17.78 | $20.42 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.32 Typical High $9.33 | Professional | 53 · Discontinued | $7.24 | $8.32 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $33.11 Typical High $35.48 | Professional | FX · Film X-ray | $28.84 | $33.11 | $35.48 |
Where Georgia sits
The same service costs 4.1 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· 30th of 51
$53.70
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.