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 $275.42 Median $512.86 Typical High $1,949.84 | Facility | None | $275.42 | $512.86 | $1,949.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $91.20 | Facility | 26 · Professional part | $54.95 | $54.95 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $218.78 Typical High $295.12 | Facility | TC · Technical part | $165.96 | $218.78 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $275.42 Typical High $645.65 | Professional | None (both parts) | $186.21 | $275.42 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $173.78 | Professional | 26 · Professional part | $54.95 | $64.57 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $218.78 Typical High $478.63 | Professional | TC · Technical part | $114.82 | $218.78 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $134.90 | $134.90 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $102.33 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $102.33 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $257.04 Typical High $446.68 | Facility | None | $141.25 | $257.04 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $204.17 Typical High $426.58 | Professional | None (both parts) | $104.71 | $204.17 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $79.43 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $162.18 Typical High $295.12 | Professional | TC · Technical part | $95.50 | $162.18 | $295.12 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $91.20 Typical High $190.55 | Professional | None (both parts) | $60.26 | $91.20 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $281.84 Typical High $331.13 | Facility | None | $190.55 | $281.84 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $165.96 | $316.23 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $194.98 | Professional | 26 · Professional part | $61.66 | $97.72 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $190.55 Typical High $371.54 | Professional | TC · Technical part | $100.00 | $190.55 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $676.08 | Professional | None | $165.96 | $229.09 | $676.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $269.15 | Professional | 26 · Professional part | $66.07 | $87.10 | $269.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $602.56 | Professional | TC · Technical part | $102.33 | $138.04 | $602.56 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $64.57 | $134.90 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $165.96 | $275.42 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $61.66 | $85.11 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $186.21 Typical High $323.59 | Professional | TC · Technical part | $102.33 | $186.21 | $323.59 |
4 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 $85.11 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $85.11 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $33.88 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $208.93 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $208.93 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $194.98 | $218.78 | $218.78 |
Where Georgia sits
The same service costs 5.8 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· 31st of 51
$224
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.