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 $123.03 Typical High $199.53 | Facility | None | $107.15 | $123.03 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $371.54 | Professional | None (both parts) | $107.15 | $125.89 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $114.82 | Professional | 26 · Professional part | $33.88 | $38.02 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $245.47 | Professional | TC · Technical part | $72.44 | $89.13 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $70.79 Typical High $81.28 | Professional | 26 · Professional part | $35.48 | $70.79 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $186.21 Typical High $338.84 | Facility | None | $107.15 | $186.21 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $97.72 | $154.88 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $31.62 | $46.77 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $69.18 | $107.15 | $194.98 |
CareSource Setting Professional Modifier None (both parts) Typical Low $41.69 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $41.69 | $93.33 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $302.00 | Facility | None | $141.25 | $213.80 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $186.21 Typical High $380.19 | Professional | None (both parts) | $117.49 | $186.21 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $34.67 | $60.26 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $134.90 Typical High $263.03 | Professional | TC · Technical part | $83.18 | $134.90 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $281.84 | Professional | None | $138.04 | $186.21 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $46.77 | $61.66 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $275.42 | Professional | TC · Technical part | $93.33 | $123.03 | $275.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $46.77 | $131.83 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $107.15 | $169.82 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $53.70 Typical High $102.33 | Professional | 26 · Professional part | $33.88 | $53.70 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $120.23 | $213.80 |
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 $53.70 Median $61.66 Typical High $67.61 | Professional | 52 · Reduced service | $53.70 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $26.92 | Professional | 53 · Discontinued | $21.38 | $24.55 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $97.72 Typical High $104.71 | Professional | FX · Film X-ray | $85.11 | $97.72 | $104.71 |
Where Georgia sits
The same service costs 3.9 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
$155
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.