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 $275.42 Median $691.83 Typical High $1,949.84 | Facility | None | $275.42 | $691.83 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $102.33 | $275.42 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $30.20 | $54.95 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $69.18 | $218.78 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $23.44 | $38.90 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $380.19 | Facility | None | $85.11 | $128.82 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $75.86 | $125.89 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $35.48 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $56.23 | $85.11 | $154.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $27.54 Median $72.44 Typical High $125.89 | Professional | None (both parts) | $27.54 | $72.44 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $269.15 Typical High $870.96 | Facility | None | $169.82 | $269.15 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $162.18 Typical High $346.74 | Professional | None (both parts) | $95.50 | $162.18 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $43.65 Typical High $91.20 | Professional | 26 · Professional part | $28.84 | $43.65 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $109.65 Typical High $257.04 | Professional | TC · Technical part | $66.07 | $109.65 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $263.03 | Professional | None | $112.20 | $144.54 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $29.51 | $38.90 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $107.15 | $199.53 |
Oscar Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $691.83 | Facility | None | $147.91 | $147.91 | $691.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $29.51 | $93.33 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $288.40 | Professional | None (both parts) | $93.33 | $131.83 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $77.62 | Professional | 26 · Professional part | $27.54 | $37.15 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $213.80 | Professional | TC · Technical part | $64.57 | $93.33 | $213.80 |
2 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 CT · Older CT scanner Typical Low $134.90 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $134.90 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $128.82 | $218.78 | $218.78 |
Where Georgia sits
The same service costs 4.2 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· 23rd of 51
$126
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.