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 $371.54 Median $426.58 Typical High $1,122.02 | Professional | None (both parts) | $371.54 | $426.58 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $257.04 | Professional | 26 · Professional part | $85.11 | $91.20 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $891.25 | Professional | TC · Technical part | $263.03 | $338.84 | $891.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $380.19 | Professional | 26 · Professional part | $81.28 | $81.28 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $537.03 Typical High $1,023.29 | Facility | None | $281.84 | $537.03 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $446.68 Typical High $912.01 | Professional | None (both parts) | $275.42 | $446.68 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $199.53 | Professional | 26 · Professional part | $83.18 | $109.65 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $288.40 Typical High $676.08 | Professional | TC · Technical part | $194.98 | $288.40 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $602.56 | Facility | None | $316.23 | $478.63 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $588.84 Typical High $1,230.27 | Professional | None (both parts) | $323.59 | $588.84 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $144.54 Typical High $263.03 | Professional | 26 · Professional part | $89.13 | $144.54 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $407.38 Typical High $891.25 | Professional | TC · Technical part | $229.09 | $407.38 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $1,698.24 | Professional | None | $309.03 | $416.87 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $281.84 | Professional | 26 · Professional part | $93.33 | $125.89 | $281.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $288.40 Typical High $1,479.11 | Professional | TC · Technical part | $213.80 | $288.40 | $1,479.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $91.20 | $257.04 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $588.84 Typical High $977.24 | Professional | None (both parts) | $323.59 | $588.84 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $257.04 | Professional | 26 · Professional part | $87.10 | $123.03 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $436.52 Typical High $724.44 | Professional | TC · Technical part | $229.09 | $436.52 | $724.44 |
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 $169.82 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $169.82 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $67.61 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $323.59 | $338.84 | $338.84 |
Where Georgia sits
The same service costs 5.9 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· 25th of 51
$468
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.