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 $147.91 Median $199.53 Typical High $199.53 | Facility | None | $147.91 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $208.93 | Professional | None (both parts) | $169.82 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.70 Typical High $29.51 | Professional | 26 · Professional part | $23.99 | $25.70 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $199.53 | Professional | TC · Technical part | $162.18 | $194.98 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $389.05 Typical High $776.25 | Facility | None | $97.72 | $389.05 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $91.20 | $234.42 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $38.90 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $204.17 Typical High $346.74 | Professional | TC · Technical part | $61.66 | $204.17 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $323.59 | Facility | None | $107.15 | $134.90 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $83.18 | $131.83 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $47.86 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $158.49 | Professional | TC · Technical part | $52.48 | $83.18 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $165.96 Typical High $245.47 | Professional | None | $85.11 | $165.96 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $42.66 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $102.33 Typical High $245.47 | Professional | TC · Technical part | $54.95 | $102.33 | $245.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $102.33 Typical High $338.84 | Professional | None (both parts) | $30.20 | $102.33 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $263.03 Typical High $575.44 | Professional | None (both parts) | $93.33 | $263.03 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $28.18 | $41.69 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $234.42 Typical High $512.86 | Professional | TC · Technical part | $60.26 | $234.42 | $512.86 |
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 $85.11 Median $100.00 Typical High $104.71 | Professional | 52 · Reduced service | $85.11 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $39.81 Typical High $41.69 | Professional | 53 · Discontinued | $33.88 | $39.81 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $162.18 Typical High $165.96 | Professional | FX · Film X-ray | $134.90 | $162.18 | $165.96 |
Where Georgia sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 23rd of 51
$200
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.