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 $128.82 Median $147.91 Typical High $147.91 | Facility | None | $128.82 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $169.82 | Professional | None (both parts) | $128.82 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $60.26 | Professional | 26 · Professional part | $48.98 | $52.48 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $107.15 | Professional | TC · Technical part | $81.28 | $95.50 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $316.23 Typical High $645.65 | Facility | None | $158.49 | $316.23 | $645.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $251.19 Typical High $630.96 | Professional | None (both parts) | $165.96 | $251.19 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $77.62 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $162.18 Typical High $575.44 | Professional | TC · Technical part | $107.15 | $162.18 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $338.84 | Facility | None | $177.83 | $245.47 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $354.81 Typical High $741.31 | Professional | None (both parts) | $181.97 | $354.81 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $102.33 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $102.33 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $229.09 Typical High $457.09 | Professional | TC · Technical part | $117.49 | $229.09 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $1,348.96 | Professional | None | $194.98 | $257.04 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $190.55 | Professional | 26 · Professional part | $66.07 | $87.10 | $190.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $1,348.96 | Professional | TC · Technical part | $128.82 | $169.82 | $1,348.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $97.72 | $181.97 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $177.83 | $323.59 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $60.26 | $87.10 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $114.82 | $208.93 | $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 $64.57 Median $74.13 Typical High $85.11 | Professional | 52 · Reduced service | $64.57 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $29.51 Typical High $33.88 | Professional | 53 · Discontinued | $26.30 | $29.51 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $117.49 Typical High $128.82 | Professional | FX · Film X-ray | $104.71 | $117.49 | $128.82 |
Where Georgia sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$257
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.