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 $776.25 Typical High $1,949.84 | Facility | None | $275.42 | $776.25 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $724.44 | Professional | None (both parts) | $208.93 | $275.42 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $58.88 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $218.78 Typical High $575.44 | Professional | TC · Technical part | $138.04 | $218.78 | $575.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $229.09 | Professional | None (both parts) | $213.80 | $213.80 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $83.18 | $104.71 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $316.23 Typical High $562.34 | Facility | None | $173.78 | $316.23 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $537.03 | Professional | None (both parts) | $186.21 | $281.84 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $53.70 | $75.86 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $204.17 Typical High $389.05 | Professional | TC · Technical part | $117.49 | $204.17 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $331.13 Typical High $346.74 | Facility | None | $251.19 | $331.13 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $229.09 | $354.81 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $93.33 Typical High $186.21 | Professional | 26 · Professional part | $58.88 | $93.33 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $245.47 Typical High $524.81 | Professional | TC · Technical part | $162.18 | $245.47 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $891.25 | Professional | None | $190.55 | $257.04 | $891.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $257.04 | Professional | 26 · Professional part | $63.10 | $85.11 | $257.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $812.83 | Professional | TC · Technical part | $125.89 | $173.78 | $812.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $61.66 | $158.49 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $199.53 | $338.84 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $57.54 | $79.43 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $134.90 | $257.04 | $416.87 |
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 $100.00 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $100.00 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $40.74 | $54.95 | $54.95 |
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 5.5 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· 26th of 51
$288
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.