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 $851.14 Typical High $1,949.84 | Facility | None | $275.42 | $851.14 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $812.83 | Professional | None (both parts) | $263.03 | $275.42 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $169.82 | Professional | 26 · Professional part | $54.95 | $54.95 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $660.69 | Professional | TC · Technical part | $177.83 | $218.78 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $380.19 Typical High $676.08 | Facility | None | $199.53 | $380.19 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $199.53 | $331.13 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $69.18 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $251.19 Typical High $478.63 | Professional | TC · Technical part | $151.36 | $251.19 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $426.58 | Facility | None | $269.15 | $398.11 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $416.87 Typical High $831.76 | Professional | None (both parts) | $269.15 | $416.87 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $61.66 | $97.72 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $645.65 | Professional | TC · Technical part | $199.53 | $302.00 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $1,096.48 | Professional | None | $223.87 | $302.00 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $186.21 | Professional | 26 · Professional part | $64.57 | $85.11 | $186.21 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $977.24 | Professional | TC · Technical part | $154.88 | $213.80 | $977.24 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $64.57 | $190.55 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $416.87 Typical High $645.65 | Professional | None (both parts) | $234.42 | $416.87 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $83.18 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $316.23 Typical High $512.86 | Professional | TC · Technical part | $165.96 | $316.23 | $512.86 |
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 $117.49 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $47.86 | $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 5.2 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· 25th of 51
$331
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.