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 $79.43 Median $89.13 Typical High $89.13 | Facility | None | $79.43 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $263.03 | Professional | None (both parts) | $79.43 | $89.13 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $32.36 Typical High $89.13 | Professional | 26 · Professional part | $30.20 | $32.36 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $169.82 | Professional | TC · Technical part | $47.86 | $56.23 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $54.95 | $72.44 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $138.04 Typical High $199.53 | Facility | None | $87.10 | $138.04 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $87.10 | $109.65 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $42.66 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $128.82 | Professional | TC · Technical part | $60.26 | $79.43 | $128.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $331.13 | Facility | None | $87.10 | $87.10 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $173.78 Typical High $263.03 | Professional | None (both parts) | $102.33 | $173.78 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $35.48 | $61.66 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $67.61 | $107.15 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $275.42 | Professional | None | $95.50 | $114.82 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $114.82 | Professional | 26 · Professional part | $38.02 | $47.86 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $275.42 | Professional | TC · Technical part | $57.54 | $69.18 | $275.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $91.20 Typical High $151.36 | Professional | None (both parts) | $60.26 | $91.20 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $95.50 | $138.04 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $32.36 | $50.12 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $128.82 | Professional | TC · Technical part | $60.26 | $85.11 | $128.82 |
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 $38.90 Median $44.67 Typical High $48.98 | Professional | 52 · Reduced service | $38.90 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $17.78 Typical High $19.50 | Professional | 53 · Discontinued | $15.85 | $17.78 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $70.79 Typical High $77.62 | Professional | FX · Film X-ray | $63.10 | $70.79 | $77.62 |
Where Georgia sits
The same service costs 4.5 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· 27th of 51
$115
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.