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 $741.31 Typical High $1,949.84 | Facility | None | $275.42 | $741.31 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $831.76 | Professional | None (both parts) | $275.42 | $316.23 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $239.88 | Professional | 26 · Professional part | $54.95 | $83.18 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $588.84 | Professional | TC · Technical part | $218.78 | $218.78 | $588.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $112.20 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $112.20 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $489.78 Typical High $851.14 | Facility | None | $288.40 | $489.78 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $794.33 | Professional | None (both parts) | $269.15 | $371.54 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $95.50 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $630.96 | Professional | TC · Technical part | $190.55 | $263.03 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $512.86 Typical High $691.83 | Facility | None | $269.15 | $512.86 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $616.60 Typical High $1,071.52 | Professional | None (both parts) | $316.23 | $616.60 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $131.83 Typical High $263.03 | Professional | 26 · Professional part | $87.10 | $131.83 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $436.52 Typical High $831.76 | Professional | TC · Technical part | $223.87 | $436.52 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $1,380.38 | Professional | None | $338.84 | $467.74 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $218.78 | Professional | 26 · Professional part | $93.33 | $125.89 | $218.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $338.84 Typical High $1,348.96 | Professional | TC · Technical part | $245.47 | $338.84 | $1,348.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $91.20 | $288.40 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $562.34 Typical High $933.25 | Professional | None (both parts) | $323.59 | $562.34 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $239.88 | Professional | 26 · Professional part | $87.10 | $123.03 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $426.58 Typical High $707.95 | Professional | TC · Technical part | $229.09 | $426.58 | $707.95 |
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 $162.18 | Professional | 52 · Reduced service | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | 53 · Discontinued | $54.95 | $54.95 | $64.57 |
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 Texas. 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
$389
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.