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 $616.60 Typical High $1,949.84 | Facility | None | $275.42 | $616.60 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $1,071.52 | Professional | None (both parts) | $275.42 | $398.11 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $93.33 Typical High $263.03 | Professional | 26 · Professional part | $54.95 | $93.33 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $295.12 Typical High $794.33 | Professional | TC · Technical part | $218.78 | $295.12 | $794.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $501.19 | Professional | None (both parts) | $309.03 | $309.03 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $154.88 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $154.88 | $194.98 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $338.84 | $478.63 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $616.60 Typical High $870.96 | Facility | None | $331.13 | $616.60 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $436.52 Typical High $912.01 | Professional | None (both parts) | $346.74 | $436.52 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $114.82 Typical High $218.78 | Professional | 26 · Professional part | $74.13 | $114.82 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $323.59 Typical High $691.83 | Professional | TC · Technical part | $269.15 | $323.59 | $691.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $104.71 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $104.71 | $275.42 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $645.65 Typical High $851.14 | Facility | None | $269.15 | $645.65 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $724.44 Typical High $1,318.26 | Professional | None (both parts) | $398.11 | $724.44 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $162.18 Typical High $331.13 | Professional | 26 · Professional part | $109.65 | $162.18 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $524.81 Typical High $977.24 | Professional | TC · Technical part | $288.40 | $524.81 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $2,454.71 | Professional | None | $426.58 | $549.54 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $467.74 | Professional | 26 · Professional part | $112.20 | $147.91 | $467.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $407.38 Typical High $1,995.26 | Professional | TC · Technical part | $309.03 | $407.38 | $1,995.26 |
Oscar Health Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $3,548.13 | Facility | None | $1,621.81 | $1,621.81 | $3,548.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $112.20 | $363.08 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $660.69 Typical High $1,096.48 | Professional | None (both parts) | $407.38 | $660.69 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $144.54 Typical High $295.12 | Professional | 26 · Professional part | $104.71 | $144.54 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $501.19 Typical High $831.76 | Professional | TC · Technical part | $295.12 | $501.19 | $831.76 |
2 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 CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $288.40 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $288.40 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $269.15 | Professional | FX · Film X-ray | $218.78 | $218.78 | $269.15 |
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· 39th of 51
$468
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.