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 $269.15 Median $275.42 Typical High $724.44 | Professional | None (both parts) | $269.15 | $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 $190.55 Median $218.78 Typical High $575.44 | Professional | TC · Technical part | $190.55 | $218.78 | $575.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $104.71 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $104.71 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $398.11 Typical High $691.83 | Facility | None | $199.53 | $398.11 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $162.18 | $309.03 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $66.07 | $120.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $316.23 Median $501.19 Typical High $912.01 | Professional | 50 · Both sides | $316.23 | $501.19 | $912.01 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $251.19 Typical High $467.74 | Professional | TC · Technical part | $147.91 | $251.19 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $407.38 Typical High $426.58 | Facility | None | $269.15 | $407.38 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $407.38 Typical High $741.31 | Professional | None (both parts) | $275.42 | $407.38 | $741.31 |
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 $199.53 Median $295.12 Typical High $616.60 | Professional | TC · Technical part | $199.53 | $295.12 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $954.99 | Professional | None | $218.78 | $295.12 | $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 $154.88 Median $213.80 Typical High $933.25 | Professional | TC · Technical part | $154.88 | $213.80 | $933.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $60.26 | $181.97 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $234.42 | $389.05 | $630.96 |
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 $169.82 Median $295.12 Typical High $512.86 | Professional | TC · Technical part | $169.82 | $295.12 | $512.86 |
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 $117.49 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $54.95 | $54.95 |
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 5.1 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· 28th of 51
$316
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.