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 $275.42 Median $758.58 Typical High $1,949.84 | Facility | None | $275.42 | $758.58 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $724.44 | Professional | None (both parts) | $275.42 | $275.42 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $54.95 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $218.78 Typical High $562.34 | Professional | TC · Technical part | $204.17 | $218.78 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $416.87 Typical High $707.95 | Facility | None | $251.19 | $416.87 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $239.88 | $338.84 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $125.89 | Professional | 26 · Professional part | $53.70 | $66.07 | $125.89 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $524.81 Typical High $1,000.00 | Professional | 50 · Both sides | $363.08 | $524.81 | $1,000.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $524.81 | Professional | TC · Technical part | $190.55 | $263.03 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $436.52 Typical High $588.84 | Facility | None | $269.15 | $436.52 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $501.19 Typical High $851.14 | Professional | None (both parts) | $275.42 | $501.19 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $58.88 | $93.33 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $363.08 Typical High $676.08 | Professional | TC · Technical part | $218.78 | $363.08 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $954.99 | Professional | None | $275.42 | $371.54 | $954.99 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $177.83 | Professional | 26 · Professional part | $61.66 | $81.28 | $177.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $288.40 Typical High $912.01 | Professional | TC · Technical part | $213.80 | $288.40 | $912.01 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $229.09 Typical High $446.68 | Professional | None (both parts) | $60.26 | $229.09 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $426.58 Typical High $724.44 | Professional | None (both parts) | $281.84 | $426.58 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $57.54 | $79.43 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $338.84 Typical High $575.44 | Professional | TC · Technical part | $218.78 | $338.84 | $575.44 |
4 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 $131.83 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $131.83 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $52.48 | $54.95 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $218.78 | $218.78 | $218.78 |
Where Georgia sits
The same service costs 5.0 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· 31st of 51
$339
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.