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 $831.76 Typical High $1,949.84 | Facility | None | $275.42 | $831.76 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $758.58 | Professional | None (both parts) | $275.42 | $275.42 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $57.54 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $218.78 Typical High $575.44 | Professional | TC · Technical part | $213.80 | $218.78 | $575.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $75.86 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $407.38 Typical High $660.69 | Facility | None | $239.88 | $407.38 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $691.83 | Professional | None (both parts) | $234.42 | $316.23 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $53.70 | $67.61 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $251.19 Typical High $549.54 | Professional | TC · Technical part | $190.55 | $251.19 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $446.68 Typical High $602.56 | Facility | None | $269.15 | $446.68 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $269.15 | $501.19 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $58.88 | $93.33 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $371.54 Typical High $691.83 | Professional | TC · Technical part | $204.17 | $371.54 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $380.19 Typical High $1,071.52 | Professional | None | $281.84 | $380.19 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $177.83 | Professional | 26 · Professional part | $63.10 | $83.18 | $177.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $295.12 Typical High $933.25 | Professional | TC · Technical part | $218.78 | $295.12 | $933.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $60.26 | $234.42 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $426.58 Typical High $741.31 | Professional | None (both parts) | $275.42 | $426.58 | $741.31 |
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 $208.93 Median $338.84 Typical High $602.56 | Professional | TC · Technical part | $208.93 | $338.84 | $602.56 |
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 $131.83 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $131.83 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $52.48 | $54.95 | $60.26 |
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 5.0 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· 33rd of 51
$339
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.