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 $275.42 Median $275.42 Typical High $851.14 | Professional | None (both parts) | $275.42 | $275.42 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $275.42 | Professional | 26 · Professional part | $54.95 | $54.95 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $218.78 | $660.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $489.78 Typical High $851.14 | Facility | None | $288.40 | $489.78 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $776.25 | Professional | None (both parts) | $251.19 | $371.54 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $93.33 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $630.96 | Professional | TC · Technical part | $190.55 | $263.03 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $512.86 Typical High $676.08 | Facility | None | $269.15 | $512.86 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $575.44 Typical High $1,071.52 | Professional | None (both parts) | $316.23 | $575.44 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $134.90 Typical High $269.15 | Professional | 26 · Professional part | $87.10 | $134.90 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $426.58 Typical High $812.83 | Professional | TC · Technical part | $223.87 | $426.58 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $1,318.26 | Professional | None | $338.84 | $467.74 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $363.08 | Professional | 26 · Professional part | $91.20 | $125.89 | $363.08 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $338.84 Typical High $1,318.26 | Professional | TC · Technical part | $245.47 | $338.84 | $1,318.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $89.13 | $288.40 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $549.54 Typical High $912.01 | Professional | None (both parts) | $323.59 | $549.54 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $239.88 | Professional | 26 · Professional part | $85.11 | $117.49 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $426.58 Typical High $707.95 | Professional | TC · Technical part | $229.09 | $426.58 | $707.95 |
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 $138.04 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | 53 · Discontinued | $54.95 | $54.95 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $218.78 | $218.78 | $239.88 |
Where Georgia sits
The same service costs 5.8 times more in Alaska 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· 32nd of 51
$389
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.