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 $85.11 Median $95.50 Typical High $95.50 | Facility | None | $85.11 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $95.50 Typical High $288.40 | Professional | None (both parts) | $85.11 | $95.50 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $95.50 | Professional | 26 · Professional part | $32.36 | $34.67 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $169.82 | Professional | TC · Technical part | $51.29 | $61.66 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $199.53 Typical High $346.74 | Facility | None | $75.86 | $199.53 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $398.11 | Professional | None (both parts) | $97.72 | $141.25 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $53.70 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $338.84 | Professional | TC · Technical part | $66.07 | $95.50 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $331.13 | Facility | None | $125.89 | $173.78 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $204.17 Typical High $426.58 | Professional | None (both parts) | $102.33 | $204.17 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $63.10 Typical High $107.15 | Professional | 26 · Professional part | $41.69 | $63.10 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $58.88 | $134.90 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $831.76 | Professional | None | $138.04 | $186.21 | $831.76 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $58.88 | $123.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $831.76 | Professional | TC · Technical part | $91.20 | $125.89 | $831.76 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $104.71 Typical High $208.93 | Professional | None (both parts) | $44.67 | $104.71 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $104.71 | $199.53 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $54.95 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $128.82 Typical High $288.40 | Professional | TC · Technical part | $61.66 | $128.82 | $288.40 |
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 $42.66 Median $47.86 Typical High $56.23 | Professional | 52 · Reduced service | $42.66 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.05 Typical High $22.91 | Professional | 53 · Discontinued | $16.98 | $19.05 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $77.62 Typical High $83.18 | Professional | FX · Film X-ray | $67.61 | $77.62 | $83.18 |
Where Georgia sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 27th of 51
$148
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.