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 $851.14 Typical High $2,398.83 | Facility | None | $426.58 | $851.14 | $2,398.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $524.81 | Facility | TC · Technical part | $338.84 | $338.84 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $426.58 Typical High $1,122.02 | Professional | None (both parts) | $281.84 | $426.58 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $91.20 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $338.84 Typical High $758.58 | Professional | TC · Technical part | $204.17 | $338.84 | $758.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $186.21 | $269.15 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $67.61 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $537.03 Typical High $891.25 | Facility | None | $234.42 | $537.03 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $245.47 | $398.11 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $61.66 | $89.13 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $295.12 Typical High $602.56 | Professional | TC · Technical part | $165.96 | $295.12 | $602.56 |
CareSource Setting Professional Modifier None (both parts) Typical Low $69.18 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $69.18 | $158.49 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $501.19 Typical High $501.19 | Facility | None | $316.23 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $501.19 Typical High $1,023.29 | Professional | None (both parts) | $269.15 | $501.19 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $107.15 Typical High $218.78 | Professional | 26 · Professional part | $70.79 | $107.15 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $363.08 Typical High $794.33 | Professional | TC · Technical part | $194.98 | $363.08 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $1,380.38 | Professional | None | $257.04 | $346.74 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $97.72 | $169.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $1,288.25 | Professional | TC · Technical part | $177.83 | $245.47 | $1,288.25 |
Oscar Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $1,174.90 | Facility | None | $316.23 | $316.23 | $1,174.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $72.44 | $213.80 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $478.63 Typical High $851.14 | Professional | None (both parts) | $269.15 | $478.63 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $208.93 | Professional | 26 · Professional part | $66.07 | $95.50 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $371.54 Typical High $616.60 | Professional | TC · Technical part | $190.55 | $371.54 | $616.60 |
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 $141.25 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $56.23 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $302.00 | $338.84 | $338.84 |
Where Georgia sits
The same service costs 6.0 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
$427
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.