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 $416.87 Median $426.58 Typical High $1,174.90 | Professional | None (both parts) | $416.87 | $426.58 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $257.04 | Professional | 26 · Professional part | $85.11 | $85.11 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $933.25 | Professional | TC · Technical part | $302.00 | $338.84 | $933.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $588.84 Typical High $977.24 | Facility | None | $346.74 | $588.84 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $489.78 Typical High $977.24 | Professional | None (both parts) | $338.84 | $489.78 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $109.65 Typical High $186.21 | Professional | 26 · Professional part | $74.13 | $109.65 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $380.19 Typical High $758.58 | Professional | TC · Technical part | $257.04 | $380.19 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $588.84 Typical High $794.33 | Facility | None | $316.23 | $588.84 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $691.83 Typical High $1,174.90 | Professional | None (both parts) | $398.11 | $691.83 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $138.04 Typical High $257.04 | Professional | 26 · Professional part | $87.10 | $138.04 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $501.19 Typical High $912.01 | Professional | TC · Technical part | $302.00 | $501.19 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $1,445.44 | Professional | None | $371.54 | $489.78 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $213.80 | Professional | 26 · Professional part | $91.20 | $120.23 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $1,348.96 | Professional | TC · Technical part | $281.84 | $371.54 | $1,348.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $316.23 Typical High $616.60 | Professional | None (both parts) | $89.13 | $316.23 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $575.44 Typical High $933.25 | Professional | None (both parts) | $389.05 | $575.44 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $117.49 Typical High $218.78 | Professional | 26 · Professional part | $81.28 | $117.49 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $446.68 Typical High $707.95 | Professional | TC · Technical part | $302.00 | $446.68 | $707.95 |
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 $204.17 Median $213.80 Typical High $257.04 | Professional | 52 · Reduced service | $204.17 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $85.11 Typical High $102.33 | Professional | 53 · Discontinued | $83.18 | $85.11 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $338.84 Typical High $346.74 | Professional | FX · Film X-ray | $331.13 | $338.84 | $346.74 |
Where Georgia sits
The same service costs 5.6 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· 32nd of 51
$490
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.