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 $112.20 Median $125.89 Typical High $125.89 | Facility | None | $112.20 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $169.82 | Professional | None (both parts) | $112.20 | $125.89 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $56.23 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $97.72 | Professional | TC · Technical part | $60.26 | $70.79 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $281.84 Typical High $371.54 | Facility | None | $120.23 | $281.84 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $426.58 | Professional | None (both parts) | $125.89 | $194.98 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $58.88 | $83.18 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $109.65 Typical High $302.00 | Professional | TC · Technical part | $66.07 | $109.65 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $208.93 Typical High $331.13 | Facility | None | $112.20 | $208.93 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $281.84 Typical High $512.86 | Professional | None (both parts) | $134.90 | $281.84 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $102.33 Typical High $177.83 | Professional | 26 · Professional part | $64.57 | $102.33 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $162.18 Typical High $281.84 | Professional | TC · Technical part | $67.61 | $162.18 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $741.31 | Professional | None | $147.91 | $204.17 | $741.31 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $194.98 | Professional | 26 · Professional part | $67.61 | $91.20 | $194.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $741.31 | Professional | TC · Technical part | $81.28 | $112.20 | $741.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $66.07 | $125.89 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $141.25 | $263.03 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $60.26 | $89.13 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $147.91 Typical High $269.15 | Professional | TC · Technical part | $72.44 | $147.91 | $269.15 |
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 $56.23 Median $63.10 Typical High $81.28 | Professional | 52 · Reduced service | $56.23 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.12 Typical High $32.36 | Professional | 53 · Discontinued | $22.39 | $25.12 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $102.33 Typical High $117.49 | Professional | FX · Film X-ray | $89.13 | $102.33 | $117.49 |
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· 32nd of 51
$195
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.