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 $89.13 Median $100.00 Typical High $100.00 | Facility | None | $89.13 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $89.13 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $39.81 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $51.29 | $60.26 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $194.98 Typical High $251.19 | Facility | None | $89.13 | $194.98 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $316.23 | Professional | None (both parts) | $102.33 | $141.25 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $57.54 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $89.13 Typical High $218.78 | Professional | TC · Technical part | $56.23 | $89.13 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $151.36 Typical High $331.13 | Facility | None | $95.50 | $151.36 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $199.53 Typical High $363.08 | Professional | None (both parts) | $107.15 | $199.53 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $45.71 | $69.18 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $58.88 | $120.23 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $512.86 | Professional | None | $117.49 | $158.49 | $512.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $131.83 | Professional | 26 · Professional part | $46.77 | $61.66 | $131.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $512.86 | Professional | TC · Technical part | $69.18 | $95.50 | $512.86 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $46.77 | $95.50 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $109.65 | $194.98 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $40.74 | $58.88 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $117.49 Typical High $190.55 | Professional | TC · Technical part | $63.10 | $117.49 | $190.55 |
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 $44.67 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $44.67 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.95 Typical High $23.44 | Professional | 53 · Discontinued | $17.78 | $19.95 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $81.28 Typical High $87.10 | Professional | FX · Film X-ray | $70.79 | $81.28 | $87.10 |
Where Georgia sits
The same service costs 4.6 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· 30th of 51
$141
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.