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 $66.07 Median $75.86 Typical High $75.86 | Facility | None | $66.07 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $199.53 | Professional | None (both parts) | $66.07 | $75.86 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.95 Typical High $56.23 | Professional | 26 · Professional part | $18.62 | $19.95 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $141.25 | Professional | TC · Technical part | $47.86 | $56.23 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $125.89 Typical High $204.17 | Facility | None | $64.57 | $125.89 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $93.33 Typical High $173.78 | Professional | None (both parts) | $53.70 | $93.33 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $29.51 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $67.61 Typical High $131.83 | Professional | TC · Technical part | $40.74 | $67.61 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $128.82 Typical High $269.15 | Facility | None | $93.33 | $128.82 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $75.86 | $123.03 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $37.15 Typical High $61.66 | Professional | 26 · Professional part | $22.91 | $37.15 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $53.70 | $93.33 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $199.53 | Professional | None | $87.10 | $112.20 | $199.53 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $66.07 | Professional | 26 · Professional part | $26.30 | $33.88 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $63.10 | $81.28 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $64.57 | $112.20 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $21.38 | $31.62 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $44.67 | $83.18 | $151.36 |
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 $33.11 Median $38.02 Typical High $41.69 | Professional | 52 · Reduced service | $33.11 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.14 Typical High $16.60 | Professional | 53 · Discontinued | $13.18 | $15.14 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $61.66 Typical High $64.57 | Professional | FX · Film X-ray | $53.70 | $61.66 | $64.57 |
Where Georgia sits
The same service costs 3.8 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· 30th of 51
$97.72
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.