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 $199.53 Median $223.87 Typical High $223.87 | Facility | None | $199.53 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $309.03 | Professional | None (both parts) | $194.98 | $223.87 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $79.43 | $87.10 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $144.54 | Professional | TC · Technical part | $117.49 | $141.25 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $263.03 Typical High $537.03 | Facility | None | $141.25 | $263.03 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $186.21 | $269.15 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $194.98 | Professional | 26 · Professional part | $89.13 | $112.20 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $165.96 Typical High $275.42 | Professional | TC · Technical part | $104.71 | $165.96 | $275.42 |
CareSource Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $346.74 | Facility | None | $97.72 | $125.89 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $363.08 Typical High $691.83 | Professional | None (both parts) | $218.78 | $363.08 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $154.88 Typical High $269.15 | Professional | 26 · Professional part | $102.33 | $154.88 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $181.97 Typical High $426.58 | Professional | TC · Technical part | $114.82 | $181.97 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $501.19 | Professional | None | $281.84 | $338.84 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $208.93 | Professional | 26 · Professional part | $104.71 | $128.82 | $208.93 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $501.19 | Professional | TC · Technical part | $181.97 | $218.78 | $501.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $147.91 | $234.42 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $199.53 | $302.00 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $138.04 Typical High $218.78 | Professional | 26 · Professional part | $91.20 | $138.04 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $338.84 | Professional | TC · Technical part | $107.15 | $169.82 | $338.84 |
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 $100.00 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $100.00 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $45.71 Typical High $48.98 | Professional | 53 · Discontinued | $39.81 | $45.71 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $181.97 Typical High $194.98 | Professional | FX · Film X-ray | $158.49 | $181.97 | $194.98 |
Where Georgia sits
The same service costs 5.4 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· 22nd of 51
$269
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.