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 $741.31 Typical High $1,949.84 | Facility | None | $275.42 | $741.31 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $741.31 | Professional | None (both parts) | $269.15 | $275.42 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $218.78 | Professional | 26 · Professional part | $54.95 | $70.79 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $575.44 | Professional | TC · Technical part | $173.78 | $218.78 | $575.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $151.36 | $151.36 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $72.44 Typical High $144.54 | Professional | 26 · Professional part | $67.61 | $72.44 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $389.05 Typical High $645.65 | Facility | None | $208.93 | $389.05 | $645.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $223.87 | $302.00 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $64.57 | $85.11 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $147.91 | $208.93 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $457.09 | Facility | None | $269.15 | $389.05 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $457.09 Typical High $776.25 | Professional | None (both parts) | $245.47 | $457.09 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $117.49 Typical High $234.42 | Professional | 26 · Professional part | $74.13 | $117.49 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $309.03 Typical High $588.84 | Professional | TC · Technical part | $162.18 | $309.03 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $954.99 | Professional | None | $245.47 | $331.13 | $954.99 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $208.93 | Professional | 26 · Professional part | $83.18 | $107.15 | $208.93 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $870.96 | Professional | TC · Technical part | $162.18 | $223.87 | $870.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $208.93 Typical High $371.54 | Professional | None (both parts) | $81.28 | $208.93 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $398.11 Typical High $660.69 | Professional | None (both parts) | $245.47 | $398.11 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $100.00 Typical High $213.80 | Professional | 26 · Professional part | $72.44 | $100.00 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $165.96 | $281.84 | $501.19 |
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 $123.03 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $54.95 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $218.78 | $218.78 | $218.78 |
Where Georgia sits
The same service costs 6.3 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· 34th of 51
$309
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.