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 $1,318.26 Typical High $2,818.38 | Facility | None | $426.58 | $1,318.26 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $1,174.90 | Professional | None (both parts) | $426.58 | $426.58 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $85.11 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $933.25 | Professional | TC · Technical part | $338.84 | $338.84 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $1,047.13 | Facility | None | $380.19 | $676.08 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $562.34 Typical High $1,071.52 | Professional | None (both parts) | $380.19 | $562.34 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $97.72 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $457.09 Typical High $891.25 | Professional | TC · Technical part | $295.12 | $457.09 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $707.95 Typical High $912.01 | Facility | None | $316.23 | $707.95 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $776.25 Typical High $1,318.26 | Professional | None (both parts) | $446.68 | $776.25 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $251.19 | Professional | 26 · Professional part | $83.18 | $125.89 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $575.44 Typical High $1,071.52 | Professional | TC · Technical part | $363.08 | $575.44 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $1,621.81 | Professional | None | $416.87 | $562.34 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $89.13 | $120.23 | $204.17 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $446.68 Typical High $1,584.89 | Professional | TC · Technical part | $323.59 | $446.68 | $1,584.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $436.52 Typical High $549.54 | Professional | None (both parts) | $120.23 | $436.52 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $645.65 Typical High $1,288.25 | Professional | None (both parts) | $436.52 | $645.65 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $112.20 Typical High $245.47 | Professional | 26 · Professional part | $79.43 | $112.20 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $524.81 Typical High $1,023.29 | Professional | TC · Technical part | $346.74 | $524.81 | $1,023.29 |
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 $275.42 | Professional | 52 · Reduced service | $213.80 | $213.80 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $109.65 | Professional | 53 · Discontinued | $85.11 | $85.11 | $109.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $380.19 | Professional | FX · Film X-ray | $338.84 | $338.84 | $380.19 |
Where Georgia sits
The same service costs 5.5 times more in Wyoming 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· 27th of 51
$562
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.