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 $281.84 Median $2,398.83 Typical High $2,398.83 | Facility | None | $281.84 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $2,398.83 Typical High $3,630.78 | Professional | None (both parts) | $281.84 | $2,398.83 | $3,630.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $77.62 Typical High $194.98 | Professional | 26 · Professional part | $69.18 | $77.62 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $2,398.83 Typical High $3,548.13 | Professional | TC · Technical part | $194.98 | $2,398.83 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $1,258.93 Typical High $10,000.00 | Facility | None | $70.79 | $1,258.93 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $501.19 Typical High $3,467.37 | Professional | None (both parts) | $97.72 | $501.19 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $112.20 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $112.20 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $1,174.90 Typical High $3,630.78 | Professional | TC · Technical part | $43.65 | $1,174.90 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $331.13 | Facility | None | $89.13 | $112.20 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $125.89 | $213.80 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $141.25 Typical High $251.19 | Professional | 26 · Professional part | $87.10 | $141.25 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $66.07 Typical High $151.36 | Professional | TC · Technical part | $40.74 | $66.07 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $489.78 | Professional | None | $281.84 | $331.13 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $120.23 | $158.49 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $169.82 | $208.93 | $354.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $147.91 | $223.87 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $1,548.82 Typical High $6,760.83 | Professional | None (both parts) | $131.83 | $1,548.82 | $6,760.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $120.23 Typical High $218.78 | Professional | 26 · Professional part | $75.86 | $120.23 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $1,513.56 Typical High $6,606.93 | Professional | TC · Technical part | $43.65 | $1,513.56 | $6,606.93 |
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 $1,023.29 Median $1,202.26 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,023.29 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $489.78 Typical High $501.19 | Professional | 53 · Discontinued | $407.38 | $489.78 | $501.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,621.81 Median $1,949.84 Typical High $1,995.26 | Professional | FX · Film X-ray | $1,621.81 | $1,949.84 | $1,995.26 |
Where Georgia sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 22nd of 51
$501
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.