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 $831.76 | Professional | None (both parts) | $275.42 | $275.42 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $75.86 Typical High $239.88 | Professional | 26 · Professional part | $54.95 | $75.86 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $575.44 | Professional | TC · Technical part | $218.78 | $218.78 | $575.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $70.79 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $478.63 Typical High $794.33 | Facility | None | $281.84 | $478.63 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $257.04 | $398.11 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $70.79 | $93.33 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $288.40 Typical High $575.44 | Professional | TC · Technical part | $190.55 | $288.40 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $489.78 Typical High $660.69 | Facility | None | $269.15 | $489.78 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $562.34 Typical High $1,023.29 | Professional | None (both parts) | $331.13 | $562.34 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $134.90 Typical High $269.15 | Professional | 26 · Professional part | $87.10 | $134.90 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $407.38 Typical High $776.25 | Professional | TC · Technical part | $239.88 | $407.38 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $1,258.93 | Professional | None | $331.13 | $446.68 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $363.08 | Professional | 26 · Professional part | $91.20 | $120.23 | $363.08 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $323.59 Typical High $1,230.27 | Professional | TC · Technical part | $239.88 | $323.59 | $1,230.27 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $275.42 Typical High $537.03 | Professional | None (both parts) | $89.13 | $275.42 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $512.86 Typical High $870.96 | Professional | None (both parts) | $331.13 | $512.86 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $239.88 | Professional | 26 · Professional part | $85.11 | $117.49 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $407.38 Typical High $660.69 | Professional | TC · Technical part | $239.88 | $407.38 | $660.69 |
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 $138.04 Median $138.04 Typical High $165.96 | Professional | 52 · Reduced service | $138.04 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $54.95 | $54.95 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $218.78 | $218.78 | $239.88 |
Where Georgia sits
The same service costs 6.0 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· 29th of 51
$398
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.