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 $120.23 Median $134.90 Typical High $223.87 | Facility | None | $120.23 | $134.90 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $407.38 | Professional | None (both parts) | $120.23 | $138.04 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $131.83 | Professional | 26 · Professional part | $39.81 | $44.67 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $269.15 | Professional | TC · Technical part | $79.43 | $95.50 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $43.65 | $70.79 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $213.80 Typical High $363.08 | Facility | None | $120.23 | $213.80 | $363.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $104.71 | $169.82 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $33.88 | $52.48 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $208.93 | Professional | TC · Technical part | $72.44 | $117.49 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $229.09 Typical High $316.23 | Facility | None | $154.88 | $229.09 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $131.83 | $208.93 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $64.57 Typical High $131.83 | Professional | 26 · Professional part | $34.67 | $64.57 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $154.88 Typical High $288.40 | Professional | TC · Technical part | $93.33 | $154.88 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $331.13 | Professional | None | $151.36 | $194.98 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $69.18 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $131.83 | $281.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $70.79 | $147.91 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $117.49 | $186.21 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $33.88 | $58.88 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $138.04 Typical High $229.09 | Professional | TC · Technical part | $83.18 | $138.04 | $229.09 |
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 $60.26 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $60.26 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $27.54 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $27.54 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $109.65 Typical High $117.49 | Professional | FX · Film X-ray | $95.50 | $109.65 | $117.49 |
Where Georgia sits
The same service costs 4.3 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
$170
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.