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 $95.50 Median $107.15 Typical High $107.15 | Facility | None | $95.50 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $346.74 | Professional | None (both parts) | $97.72 | $107.15 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $151.36 | Professional | 26 · Professional part | $44.67 | $47.86 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $199.53 | Professional | TC · Technical part | $53.70 | $61.66 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $100.00 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $190.55 Typical High $562.34 | Facility | None | $107.15 | $190.55 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $169.82 Typical High $602.56 | Professional | None (both parts) | $112.20 | $169.82 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $69.18 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $104.71 Typical High $575.44 | Professional | TC · Technical part | $69.18 | $104.71 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $147.91 Typical High $331.13 | Facility | None | $100.00 | $147.91 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $257.04 Typical High $660.69 | Professional | None (both parts) | $138.04 | $257.04 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $87.10 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $141.25 Typical High $363.08 | Professional | TC · Technical part | $79.43 | $141.25 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $1,318.26 | Professional | None | $134.90 | $177.83 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $165.96 | Professional | 26 · Professional part | $58.88 | $77.62 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $1,318.26 | Professional | TC · Technical part | $74.13 | $97.72 | $1,318.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $87.10 | $104.71 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $245.47 Typical High $512.86 | Professional | None (both parts) | $131.83 | $245.47 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $74.13 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $138.04 Typical High $467.74 | Professional | TC · Technical part | $72.44 | $138.04 | $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 $47.86 Median $53.70 Typical High $60.26 | Professional | 52 · Reduced service | $47.86 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.88 Typical High $23.99 | Professional | 53 · Discontinued | $19.05 | $21.88 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $87.10 Typical High $93.33 | Professional | FX · Film X-ray | $77.62 | $87.10 | $93.33 |
Where Georgia sits
The same service costs 4.8 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· 29th of 51
$182
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.