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 $117.49 Median $134.90 Typical High $134.90 | Facility | None | $117.49 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $151.36 | Professional | None (both parts) | $117.49 | $134.90 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $53.70 | Professional | 26 · Professional part | $43.65 | $46.77 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $97.72 | Professional | TC · Technical part | $74.13 | $87.10 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $281.84 Typical High $575.44 | Facility | None | $138.04 | $281.84 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $630.96 | Professional | None (both parts) | $147.91 | $223.87 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $70.79 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $575.44 | Professional | TC · Technical part | $100.00 | $144.54 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $218.78 Typical High $331.13 | Facility | None | $151.36 | $218.78 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $316.23 Typical High $691.83 | Professional | None (both parts) | $169.82 | $316.23 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $89.13 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $204.17 Typical High $407.38 | Professional | TC · Technical part | $109.65 | $204.17 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $1,318.26 | Professional | None | $169.82 | $223.87 | $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 $109.65 Median $144.54 Typical High $1,318.26 | Professional | TC · Technical part | $109.65 | $144.54 | $1,318.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $87.10 | $162.18 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $162.18 | $302.00 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $77.62 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $194.98 Typical High $467.74 | Professional | TC · Technical part | $104.71 | $194.98 | $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 $58.88 Median $67.61 Typical High $75.86 | Professional | 52 · Reduced service | $58.88 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.92 Typical High $30.90 | Professional | 53 · Discontinued | $23.44 | $26.92 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $107.15 Typical High $117.49 | Professional | FX · Film X-ray | $95.50 | $107.15 | $117.49 |
Where Georgia sits
The same service costs 4.4 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
$229
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.