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 $426.58 Median $1,122.02 Typical High $2,818.38 | Facility | None | $426.58 | $1,122.02 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $426.58 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $85.11 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $575.44 | Professional | TC · Technical part | $338.84 | $338.84 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $2,089.30 | Facility | None | $407.38 | $812.83 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $660.69 Typical High $1,862.09 | Professional | None (both parts) | $467.74 | $660.69 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $194.98 Typical High $323.59 | Professional | 26 · Professional part | $134.90 | $194.98 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $562.34 Typical High $1,548.82 | Professional | TC · Technical part | $295.12 | $562.34 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $2,754.23 Typical High $3,630.78 | Facility | None | $316.23 | $2,754.23 | $3,630.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,819.70 Typical High $3,715.35 | Professional | None (both parts) | $1,122.02 | $1,819.70 | $3,715.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $229.09 Typical High $407.38 | Professional | 26 · Professional part | $147.91 | $229.09 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,621.81 Typical High $3,311.31 | Professional | TC · Technical part | $1,000.00 | $1,621.81 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,513.56 Typical High $3,548.13 | Professional | None | $870.96 | $1,513.56 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $223.87 Typical High $389.05 | Professional | 26 · Professional part | $169.82 | $223.87 | $389.05 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,348.96 Typical High $3,162.28 | Professional | TC · Technical part | $776.25 | $1,348.96 | $3,162.28 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $288.40 Typical High $831.76 | Professional | None (both parts) | $158.49 | $288.40 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $707.95 Typical High $2,290.87 | Professional | None (both parts) | $363.08 | $707.95 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $208.93 Typical High $478.63 | Professional | 26 · Professional part | $131.83 | $208.93 | $478.63 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $501.19 Typical High $1,862.09 | Professional | TC · Technical part | $223.87 | $501.19 | $1,862.09 |
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 $213.80 Median $213.80 Typical High $316.23 | Professional | 52 · Reduced service | $213.80 | $213.80 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $128.82 | Professional | 53 · Discontinued | $85.11 | $85.11 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $416.87 | Professional | FX · Film X-ray | $338.84 | $338.84 | $416.87 |
Where Georgia sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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
$661
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.