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 $64.57 Median $72.44 Typical High $72.44 | Facility | None | $64.57 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $72.44 Typical High $190.55 | Professional | None (both parts) | $64.57 | $72.44 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $67.61 | Professional | 26 · Professional part | $23.99 | $25.12 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $123.03 | Professional | TC · Technical part | $39.81 | $46.77 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $109.65 Typical High $186.21 | Facility | None | $69.18 | $109.65 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $109.65 Typical High $257.04 | Professional | None (both parts) | $28.18 | $109.65 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $26.92 | $38.02 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $89.13 Typical High $190.55 | Professional | TC · Technical part | $50.12 | $89.13 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $398.11 | Facility | None | $269.15 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $83.18 | $138.04 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $29.51 | $46.77 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $87.10 Typical High $181.97 | Professional | TC · Technical part | $53.70 | $87.10 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $213.80 Typical High $416.87 | Professional | None | $85.11 | $213.80 | $416.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $87.10 | Professional | 26 · Professional part | $31.62 | $41.69 | $87.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $138.04 Typical High $416.87 | Professional | TC · Technical part | $56.23 | $138.04 | $416.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $446.68 Typical High $489.78 | Professional | None (both parts) | $46.77 | $446.68 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $630.96 | Professional | None (both parts) | $144.54 | $218.78 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $40.74 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $181.97 Typical High $575.44 | Professional | TC · Technical part | $114.82 | $181.97 | $575.44 |
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 $32.36 Median $36.31 Typical High $40.74 | Professional | 52 · Reduced service | $32.36 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $14.45 Typical High $16.22 | Professional | 53 · Discontinued | $12.88 | $14.45 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $57.54 Typical High $63.10 | Professional | FX · Film X-ray | $51.29 | $57.54 | $63.10 |
Where Georgia sits
The same service costs 4.4 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· 35th of 51
$120
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.