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 $85.11 Median $97.72 Typical High $97.72 | Facility | None | $85.11 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $85.11 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $33.11 | Professional | 26 · Professional part | $26.92 | $28.84 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $69.18 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $190.55 Typical High $302.00 | Facility | None | $83.18 | $190.55 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $120.23 Typical High $257.04 | Professional | None (both parts) | $74.13 | $120.23 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $43.65 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $50.12 | $97.72 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $169.82 Typical High $331.13 | Facility | None | $112.20 | $169.82 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $100.00 | $165.96 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $33.88 | $53.70 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $69.18 | $120.23 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $275.42 | Professional | None | $107.15 | $138.04 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $104.71 | Professional | 26 · Professional part | $36.31 | $47.86 | $104.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $204.17 | Professional | TC · Technical part | $74.13 | $95.50 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $87.10 | $151.36 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $81.28 | Professional | 26 · Professional part | $31.62 | $46.77 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $57.54 | $107.15 | $186.21 |
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 $42.66 Median $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $42.66 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $16.98 | $19.50 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $77.62 Typical High $83.18 | Professional | FX · Film X-ray | $67.61 | $77.62 | $83.18 |
Where Georgia sits
The same service costs 4.6 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· 32nd of 51
$123
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.