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 $117.49 Median $138.04 Typical High $138.04 | Facility | None | $117.49 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $117.49 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.95 Typical High $22.91 | Professional | 26 · Professional part | $18.62 | $19.95 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $128.82 | Professional | TC · Technical part | $100.00 | $117.49 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $229.09 Typical High $457.09 | Facility | None | $128.82 | $229.09 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $112.20 | $165.96 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $21.88 | $30.20 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $134.90 Typical High $257.04 | Professional | TC · Technical part | $89.13 | $134.90 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $281.84 Typical High $380.19 | Facility | None | $194.98 | $281.84 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $407.38 | Professional | None (both parts) | $125.89 | $204.17 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $37.15 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $37.15 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $169.82 Typical High $346.74 | Professional | TC · Technical part | $102.33 | $169.82 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $309.03 | Professional | None | $154.88 | $199.53 | $309.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $70.79 | Professional | 26 · Professional part | $25.12 | $33.11 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $169.82 | $295.12 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $24.55 | $141.25 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $114.82 | $186.21 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $32.36 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $158.49 Typical High $281.84 | Professional | TC · Technical part | $97.72 | $158.49 | $281.84 |
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 $58.88 Median $67.61 Typical High $75.86 | Professional | 52 · Reduced service | $58.88 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $30.20 | Professional | 53 · Discontinued | $23.44 | $27.54 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $109.65 Typical High $114.82 | Professional | FX · Film X-ray | $93.33 | $109.65 | $114.82 |
Where Georgia sits
The same service costs 3.8 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· 30th of 51
$166
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.