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 $1,288.25 Typical High $2,818.38 | Facility | None | $426.58 | $1,288.25 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $426.58 | $426.58 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $85.11 | $85.11 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $371.54 | Professional | TC · Technical part | $302.00 | $338.84 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $1,023.29 | Facility | None | $354.81 | $602.56 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $501.19 Typical High $1,023.29 | Professional | None (both parts) | $346.74 | $501.19 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $97.72 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $389.05 Typical High $794.33 | Professional | TC · Technical part | $263.03 | $389.05 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $616.60 Typical High $812.83 | Facility | None | $316.23 | $616.60 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $707.95 Typical High $1,202.26 | Professional | None (both parts) | $407.38 | $707.95 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $134.90 Typical High $281.84 | Professional | 26 · Professional part | $87.10 | $134.90 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $537.03 Typical High $977.24 | Professional | TC · Technical part | $316.23 | $537.03 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $501.19 Typical High $1,548.82 | Professional | None | $380.19 | $501.19 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $213.80 | Professional | 26 · Professional part | $83.18 | $117.49 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $1,445.44 | Professional | TC · Technical part | $281.84 | $371.54 | $1,445.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $91.20 | $316.23 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $588.84 Typical High $954.99 | Professional | None (both parts) | $407.38 | $588.84 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $117.49 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $478.63 Typical High $724.44 | Professional | TC · Technical part | $309.03 | $478.63 | $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 $208.93 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $208.93 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $85.11 | $85.11 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | FX · Film X-ray | $338.84 | $338.84 | $346.74 |
Where Georgia sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 31st 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.