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 $107.15 Median $407.38 Typical High $407.38 | Facility | None | $107.15 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $407.38 Typical High $436.52 | Professional | None (both parts) | $346.74 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.05 Typical High $22.39 | Professional | 26 · Professional part | $18.20 | $19.05 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $407.38 Typical High $416.87 | Professional | TC · Technical part | $338.84 | $407.38 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $812.83 Typical High $1,698.24 | Facility | None | $87.10 | $812.83 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $489.78 Typical High $691.83 | Professional | None (both parts) | $77.62 | $489.78 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $19.95 | $28.84 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $467.74 Typical High $676.08 | Professional | TC · Technical part | $51.29 | $467.74 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $85.11 Typical High $776.25 | Facility | None | $67.61 | $85.11 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $58.88 | $97.72 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $23.44 | $34.67 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $56.23 Typical High $112.20 | Professional | TC · Technical part | $35.48 | $56.23 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $141.25 Typical High $208.93 | Professional | None | $58.88 | $141.25 | $208.93 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $23.99 | $31.62 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $87.10 Typical High $208.93 | Professional | TC · Technical part | $35.48 | $87.10 | $208.93 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $95.50 Typical High $812.83 | Professional | None (both parts) | $23.44 | $95.50 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $501.19 Typical High $1,202.26 | Professional | None (both parts) | $75.86 | $501.19 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $21.88 | $30.90 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $478.63 Typical High $1,148.15 | Professional | TC · Technical part | $48.98 | $478.63 | $1,148.15 |
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 $173.78 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $69.18 | $81.28 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $331.13 Typical High $338.84 | Professional | FX · Film X-ray | $275.42 | $331.13 | $338.84 |
Where Georgia sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 15th of 51
$407
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.