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 $125.89 Median $125.89 Typical High $218.78 | Facility | None | $125.89 | $125.89 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $407.38 | Professional | None (both parts) | $109.65 | $125.89 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $144.54 | Professional | 26 · Professional part | $42.66 | $46.77 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $257.04 | Professional | TC · Technical part | $67.61 | $79.43 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $89.13 | $95.50 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $263.03 Typical High $575.44 | Facility | None | $131.83 | $263.03 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $602.56 | Professional | None (both parts) | $131.83 | $204.17 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $67.61 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $575.44 | Professional | TC · Technical part | $97.72 | $144.54 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $204.17 Typical High $331.13 | Facility | None | $141.25 | $204.17 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $295.12 Typical High $691.83 | Professional | None (both parts) | $154.88 | $295.12 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $87.10 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $87.10 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $190.55 Typical High $398.11 | Professional | TC · Technical part | $100.00 | $190.55 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $213.80 Typical High $1,318.26 | Professional | None | $162.18 | $213.80 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $165.96 | Professional | 26 · Professional part | $56.23 | $74.13 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $138.04 Typical High $1,318.26 | Professional | TC · Technical part | $104.71 | $138.04 | $1,318.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $81.28 | $151.36 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $549.54 | Professional | None (both parts) | $154.88 | $275.42 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $74.13 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $177.83 Typical High $467.74 | Professional | TC · Technical part | $97.72 | $177.83 | $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 $54.95 Median $61.66 Typical High $70.79 | Professional | 52 · Reduced service | $54.95 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.12 Typical High $28.84 | Professional | 53 · Discontinued | $21.88 | $25.12 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $100.00 Typical High $109.65 | Professional | FX · Film X-ray | $87.10 | $100.00 | $109.65 |
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· 24th of 51
$219
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.