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 $147.91 Median $147.91 Typical High $158.49 | Facility | None | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $128.82 | $147.91 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $51.29 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $134.90 | Professional | TC · Technical part | $81.28 | $95.50 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $281.84 Typical High $562.34 | Facility | None | $123.03 | $281.84 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $229.09 Typical High $630.96 | Professional | None (both parts) | $151.36 | $229.09 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $51.29 | $70.79 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $151.36 Typical High $549.54 | Professional | TC · Technical part | $100.00 | $151.36 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $331.13 | Facility | None | $186.21 | $234.42 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $316.23 Typical High $691.83 | Professional | None (both parts) | $169.82 | $316.23 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $93.33 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $199.53 Typical High $407.38 | Professional | TC · Technical part | $107.15 | $199.53 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $1,318.26 | Professional | None | $208.93 | $275.42 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $93.33 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $1,318.26 | Professional | TC · Technical part | $134.90 | $177.83 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $323.59 Typical High $562.34 | Professional | None (both parts) | $169.82 | $323.59 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $83.18 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $204.17 Typical High $467.74 | Professional | TC · Technical part | $109.65 | $204.17 | $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 $64.57 Median $74.13 Typical High $83.18 | Professional | 52 · Reduced service | $64.57 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $29.51 Typical High $33.11 | Professional | 53 · Discontinued | $25.70 | $29.51 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $117.49 Typical High $125.89 | Professional | FX · Film X-ray | $102.33 | $117.49 | $125.89 |
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· 25th 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.