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 $467.74 Median $2,398.83 Typical High $2,398.83 | Facility | None | $467.74 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,398.83 Typical High $2,511.89 | Professional | None (both parts) | $1,995.26 | $2,398.83 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $42.66 | Professional | 26 · Professional part | $30.90 | $33.11 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,995.26 Median $2,398.83 Typical High $2,511.89 | Professional | TC · Technical part | $1,995.26 | $2,398.83 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $1,412.54 Typical High $10,000.00 | Facility | None | $389.05 | $1,412.54 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $1,230.27 Typical High $3,715.35 | Professional | None (both parts) | $295.12 | $1,230.27 | $3,715.35 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $48.98 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $1,174.90 Typical High $3,467.37 | Professional | TC · Technical part | $257.04 | $1,174.90 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $549.54 Typical High $4,570.88 | Facility | None | $331.13 | $549.54 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $407.38 Typical High $776.25 | Professional | None (both parts) | $257.04 | $407.38 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $63.10 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $338.84 Typical High $660.69 | Professional | TC · Technical part | $218.78 | $338.84 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $512.86 Typical High $812.83 | Professional | None | $269.15 | $512.86 | $812.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $100.00 | Professional | 26 · Professional part | $41.69 | $54.95 | $100.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $426.58 Typical High $758.58 | Professional | TC · Technical part | $229.09 | $426.58 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $1,479.11 Typical High $6,760.83 | Professional | None (both parts) | $281.84 | $1,479.11 | $6,760.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $37.15 | $54.95 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $1,479.11 Typical High $6,606.93 | Professional | TC · Technical part | $251.19 | $1,479.11 | $6,606.93 |
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 $1,000.00 Median $1,202.26 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,000.00 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $478.63 Typical High $501.19 | Professional | 53 · Discontinued | $407.38 | $478.63 | $501.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,621.81 Median $1,905.46 Typical High $1,995.26 | Professional | FX · Film X-ray | $1,621.81 | $1,905.46 | $1,995.26 |
Where Georgia sits
The same service costs 15.1 times more in Colorado 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· 17th of 51
$1,230
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.