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 $89.13 Median $89.13 Typical High $186.21 | Facility | None | $89.13 | $89.13 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $89.13 Typical High $109.65 | Professional | None (both parts) | $77.62 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $26.92 | Professional | 26 · Professional part | $20.89 | $22.39 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $57.54 | $67.61 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $181.97 Typical High $263.03 | Facility | None | $97.72 | $181.97 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $25.12 | $131.83 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $30.90 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $100.00 | $186.21 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $331.13 | Facility | None | $125.89 | $125.89 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $109.65 | $181.97 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $43.65 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $83.18 | $125.89 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $234.42 Typical High $316.23 | Professional | None | $107.15 | $234.42 | $316.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $66.07 | Professional | 26 · Professional part | $25.70 | $31.62 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $181.97 Typical High $316.23 | Professional | TC · Technical part | $81.28 | $181.97 | $316.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $147.91 Typical High $234.42 | Professional | None (both parts) | $91.20 | $147.91 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $35.48 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $114.82 Typical High $181.97 | Professional | TC · Technical part | $63.10 | $114.82 | $181.97 |
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 $38.90 Median $44.67 Typical High $52.48 | Professional | 52 · Reduced service | $38.90 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $17.78 Typical High $20.89 | Professional | 53 · Discontinued | $15.85 | $17.78 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $72.44 Typical High $75.86 | Professional | FX · Film X-ray | $63.10 | $72.44 | $75.86 |
Where Georgia sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 26th of 51
$132
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.