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 $741.31 Typical High $1,949.84 | Facility | None | $275.42 | $741.31 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $794.33 | Professional | None (both parts) | $275.42 | $338.84 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $91.20 Typical High $288.40 | Professional | 26 · Professional part | $54.95 | $91.20 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $234.42 Typical High $575.44 | Professional | TC · Technical part | $218.78 | $234.42 | $575.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $295.12 | $416.87 | $630.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $186.21 Typical High $213.80 | Professional | 26 · Professional part | $97.72 | $186.21 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $549.54 Typical High $870.96 | Facility | None | $309.03 | $549.54 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $346.74 Typical High $933.25 | Professional | None (both parts) | $199.53 | $346.74 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $144.54 Typical High $234.42 | Professional | 26 · Professional part | $100.00 | $144.54 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $371.54 Typical High $707.95 | Professional | TC · Technical part | $190.55 | $371.54 | $707.95 |
CareSource Setting Professional Modifier None (both parts) Typical Low $112.20 Median $213.80 Typical High $407.38 | Professional | None (both parts) | $112.20 | $213.80 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $660.69 Typical High $870.96 | Facility | None | $316.23 | $660.69 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $645.65 Typical High $1,174.90 | Professional | None (both parts) | $389.05 | $645.65 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $173.78 Typical High $346.74 | Professional | 26 · Professional part | $114.82 | $173.78 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $446.68 Typical High $912.01 | Professional | TC · Technical part | $275.42 | $446.68 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $1,348.96 | Professional | None | $363.08 | $478.63 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $162.18 Typical High $288.40 | Professional | 26 · Professional part | $123.03 | $162.18 | $288.40 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $316.23 Typical High $1,071.52 | Professional | TC · Technical part | $239.88 | $316.23 | $1,071.52 |
Oscar Health Setting Facility Modifier None Typical Low $2,951.21 Median $8,511.38 Typical High $9,120.11 | Facility | None | $2,951.21 | $8,511.38 | $9,120.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $309.03 Typical High $549.54 | Professional | None (both parts) | $120.23 | $309.03 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $660.69 Typical High $1,047.13 | Professional | None (both parts) | $363.08 | $660.69 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $151.36 Typical High $316.23 | Professional | 26 · Professional part | $112.20 | $151.36 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $467.74 Typical High $758.58 | Professional | TC · Technical part | $245.47 | $467.74 | $758.58 |
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 $234.42 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $218.78 | $218.78 | $218.78 |
Where Georgia sits
The same service costs 5.1 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· 27th of 51
$427
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.