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 $398.11 Median $467.74 Typical High $467.74 | Facility | None | $398.11 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $467.74 Typical High $501.19 | Professional | None (both parts) | $398.11 | $467.74 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $42.66 | Professional | 26 · Professional part | $34.67 | $37.15 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $457.09 Typical High $467.74 | Professional | TC · Technical part | $389.05 | $457.09 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $912.01 Typical High $1,949.84 | Facility | None | $346.74 | $912.01 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $630.96 Typical High $891.25 | Professional | None (both parts) | $275.42 | $630.96 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $54.95 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $588.84 Typical High $812.83 | Professional | TC · Technical part | $229.09 | $588.84 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $870.96 | Facility | None | $323.59 | $501.19 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $398.11 Typical High $741.31 | Professional | None (both parts) | $245.47 | $398.11 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $69.18 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $316.23 Typical High $616.60 | Professional | TC · Technical part | $204.17 | $316.23 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $457.09 Typical High $741.31 | Professional | None | $275.42 | $457.09 | $741.31 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $48.98 | $64.57 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $380.19 Typical High $691.83 | Professional | TC · Technical part | $229.09 | $380.19 | $691.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $870.96 Typical High $954.99 | Professional | None (both parts) | $63.10 | $870.96 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $676.08 Typical High $1,445.44 | Professional | None (both parts) | $263.03 | $676.08 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $38.02 | $60.26 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $630.96 Typical High $1,348.96 | Professional | TC · Technical part | $223.87 | $630.96 | $1,348.96 |
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 $199.53 Median $234.42 Typical High $251.19 | Professional | 52 · Reduced service | $199.53 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $93.33 Typical High $100.00 | Professional | 53 · Discontinued | $79.43 | $93.33 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $371.54 Typical High $407.38 | Professional | FX · Film X-ray | $316.23 | $371.54 | $407.38 |
Where Georgia sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 18th of 51
$550
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.