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 $95.50 Median $107.15 Typical High $107.15 | Facility | None | $95.50 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $107.15 Typical High $223.87 | Professional | None (both parts) | $95.50 | $107.15 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $42.66 | $45.71 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $144.54 | Professional | TC · Technical part | $52.48 | $61.66 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $199.53 Typical High $562.34 | Facility | None | $109.65 | $199.53 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $602.56 | Professional | None (both parts) | $117.49 | $173.78 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $69.18 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $102.33 Typical High $549.54 | Professional | TC · Technical part | $69.18 | $102.33 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $154.88 Typical High $331.13 | Facility | None | $104.71 | $154.88 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $257.04 Typical High $676.08 | Professional | None (both parts) | $134.90 | $257.04 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $56.23 | $87.10 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $141.25 Typical High $380.19 | Professional | TC · Technical part | $77.62 | $141.25 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $1,318.26 | Professional | None | $134.90 | $177.83 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $165.96 | Professional | 26 · Professional part | $58.88 | $77.62 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $1,318.26 | Professional | TC · Technical part | $77.62 | $102.33 | $1,318.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $87.10 | $109.65 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $251.19 Typical High $537.03 | Professional | None (both parts) | $131.83 | $251.19 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $75.86 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $138.04 Typical High $467.74 | Professional | TC · Technical part | $74.13 | $138.04 | $467.74 |
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 $47.86 Median $53.70 Typical High $60.26 | Professional | 52 · Reduced service | $47.86 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.38 Typical High $24.55 | Professional | 53 · Discontinued | $19.05 | $21.38 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $87.10 Typical High $93.33 | Professional | FX · Film X-ray | $75.86 | $87.10 | $93.33 |
Where Georgia sits
The same service costs 4.9 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· 28th of 51
$182
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.