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 $120.23 Median $138.04 Typical High $138.04 | Facility | None | $120.23 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $120.23 | $138.04 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $43.65 | $46.77 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $91.20 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $302.00 Typical High $602.56 | Facility | None | $144.54 | $302.00 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $630.96 | Professional | None (both parts) | $158.49 | $234.42 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $52.48 | $70.79 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $575.44 | Professional | TC · Technical part | $112.20 | $158.49 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $245.47 Typical High $331.13 | Facility | None | $173.78 | $245.47 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $338.84 Typical High $707.95 | Professional | None (both parts) | $169.82 | $338.84 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $57.54 | $91.20 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $112.20 | $223.87 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $1,318.26 | Professional | None | $186.21 | $245.47 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $79.43 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $1,318.26 | Professional | TC · Technical part | $125.89 | $165.96 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $309.03 Typical High $588.84 | Professional | None (both parts) | $165.96 | $309.03 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $53.70 | $77.62 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $109.65 | $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 $60.26 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $60.26 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $23.99 | $27.54 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $109.65 Typical High $123.03 | Professional | FX · Film X-ray | $97.72 | $109.65 | $123.03 |
Where Georgia sits
The same service costs 4.0 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
$240
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.