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 $102.33 Median $117.49 Typical High $117.49 | Facility | None | $102.33 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $102.33 | $117.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.99 Typical High $34.67 | Professional | 26 · Professional part | $22.39 | $23.99 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $120.23 | Professional | TC · Technical part | $79.43 | $93.33 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $177.83 Typical High $354.81 | Facility | None | $97.72 | $177.83 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $95.50 | $141.25 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $24.55 | $35.48 | $56.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $154.88 Median $213.80 Typical High $380.19 | Professional | 50 · Both sides | $154.88 | $213.80 | $380.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $70.79 | $107.15 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $223.87 Typical High $316.23 | Facility | None | $158.49 | $223.87 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $177.83 Typical High $346.74 | Professional | None (both parts) | $107.15 | $177.83 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $28.18 | $44.67 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $123.03 Typical High $275.42 | Professional | TC · Technical part | $79.43 | $123.03 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $302.00 | Professional | None | $147.91 | $194.98 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $40.74 | $79.43 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $302.00 | Professional | TC · Technical part | $112.20 | $147.91 | $302.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $31.62 | $131.83 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $104.71 | $151.36 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $24.55 | $38.02 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $223.87 | Professional | TC · Technical part | $77.62 | $117.49 | $223.87 |
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 $51.29 Median $58.88 Typical High $63.10 | Professional | 52 · Reduced service | $51.29 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.44 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $23.44 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $93.33 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $93.33 | $100.00 |
Where Georgia sits
The same service costs 3.9 times more in Alaska than in New York. 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· 28th 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.