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 $102.33 Median $120.23 Typical High $120.23 | Facility | None | $102.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $102.33 | $120.23 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.89 Typical High $38.02 | Professional | 26 · Professional part | $19.05 | $20.89 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $83.18 | $97.72 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $257.04 Typical High $389.05 | Facility | None | $87.10 | $257.04 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $144.54 Typical High $371.54 | Professional | None (both parts) | $74.13 | $144.54 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $26.30 Typical High $43.65 | Professional | 26 · Professional part | $17.38 | $26.30 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $120.23 Typical High $302.00 | Professional | TC · Technical part | $54.95 | $120.23 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $245.47 Typical High $338.84 | Facility | None | $169.82 | $245.47 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $123.03 Typical High $371.54 | Professional | None (both parts) | $66.07 | $123.03 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $32.36 Typical High $64.57 | Professional | 26 · Professional part | $17.78 | $32.36 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $89.13 Typical High $309.03 | Professional | TC · Technical part | $47.86 | $89.13 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $169.82 Typical High $239.88 | Professional | None | $134.90 | $169.82 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $34.67 | $51.29 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $194.98 | Professional | TC · Technical part | $112.20 | $144.54 | $194.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $25.70 | $123.03 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $154.88 Typical High $416.87 | Professional | None (both parts) | $74.13 | $154.88 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $28.84 Typical High $56.23 | Professional | 26 · Professional part | $17.78 | $28.84 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $128.82 Typical High $346.74 | Professional | TC · Technical part | $53.70 | $128.82 | $346.74 |
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 $51.29 Median $58.88 Typical High $70.79 | Professional | 52 · Reduced service | $51.29 | $58.88 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $20.42 | $23.99 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $95.50 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $95.50 | $100.00 |
Where Georgia sits
The same service costs 4.1 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· 29th of 51
$145
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.