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 $263.03 Median $426.58 Typical High $478.63 | Professional | None (both parts) | $263.03 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $208.93 | Professional | 26 · Professional part | $85.11 | $85.11 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $204.17 | $338.84 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $1,023.29 Typical High $2,398.83 | Facility | None | $489.78 | $1,023.29 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $501.19 Typical High $1,584.89 | Professional | None (both parts) | $239.88 | $501.19 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $173.78 Typical High $331.13 | Professional | 26 · Professional part | $141.25 | $173.78 | $331.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $302.00 Typical High $1,513.56 | Professional | TC · Technical part | $181.97 | $302.00 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $2,951.21 Typical High $3,801.89 | Facility | None | $316.23 | $2,951.21 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,949.84 Typical High $3,890.45 | Professional | None (both parts) | $1,202.26 | $1,949.84 | $3,890.45 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $234.42 Typical High $426.58 | Professional | 26 · Professional part | $162.18 | $234.42 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,737.80 Typical High $3,467.37 | Professional | TC · Technical part | $1,122.02 | $1,737.80 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $2,290.87 Typical High $5,888.44 | Professional | None | $1,513.56 | $2,290.87 | $5,888.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $229.09 Typical High $380.19 | Professional | 26 · Professional part | $173.78 | $229.09 | $380.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $2,691.53 Typical High $5,248.07 | Professional | TC · Technical part | $1,348.96 | $2,691.53 | $5,248.07 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $346.74 Typical High $812.83 | Professional | None (both parts) | $169.82 | $346.74 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $512.86 Typical High $1,230.27 | Professional | None (both parts) | $346.74 | $512.86 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $218.78 Typical High $489.78 | Professional | 26 · Professional part | $134.90 | $218.78 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $302.00 Typical High $660.69 | Professional | TC · Technical part | $181.97 | $302.00 | $660.69 |
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 $131.83 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $131.83 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $52.48 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $239.88 | $338.84 | $338.84 |
Where Georgia sits
The same service costs 13.5 times more in Wyoming than in Washington. 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
$501
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.