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 $102.33 Median $114.82 Typical High $114.82 | Facility | None | $102.33 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $131.83 | Professional | None (both parts) | $102.33 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $53.70 | Professional | 26 · Professional part | $43.65 | $46.77 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $75.86 | Professional | TC · Technical part | $58.88 | $69.18 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $218.78 Typical High $575.44 | Facility | None | $112.20 | $218.78 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $181.97 Typical High $602.56 | Professional | None (both parts) | $95.50 | $181.97 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $70.79 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $117.49 Typical High $549.54 | Professional | TC · Technical part | $74.13 | $117.49 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $165.96 Typical High $331.13 | Facility | None | $112.20 | $165.96 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $275.42 Typical High $691.83 | Professional | None (both parts) | $144.54 | $275.42 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $57.54 | $89.13 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $154.88 Typical High $407.38 | Professional | TC · Technical part | $87.10 | $154.88 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $186.21 Typical High $1,318.26 | Professional | None | $141.25 | $186.21 | $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 $81.28 Median $107.15 Typical High $1,318.26 | Professional | TC · Technical part | $81.28 | $107.15 | $1,318.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $87.10 | $120.23 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $269.15 Typical High $549.54 | Professional | None (both parts) | $141.25 | $269.15 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $128.82 | Professional | 26 · Professional part | $54.95 | $77.62 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $154.88 Typical High $467.74 | Professional | TC · Technical part | $81.28 | $154.88 | $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 $51.29 Median $57.54 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.91 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $22.91 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $93.33 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $93.33 | $100.00 |
Where Georgia sits
The same service costs 4.9 times more in Alaska than in Texas. 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· 31st 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.