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 $275.42 Median $758.58 Typical High $1,949.84 | Facility | None | $275.42 | $758.58 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $275.42 Typical High $380.19 | Professional | None (both parts) | $239.88 | $275.42 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $54.95 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $218.78 Typical High $239.88 | Professional | TC · Technical part | $117.49 | $218.78 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $169.82 Typical High $218.78 | Facility | None | $87.10 | $169.82 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $75.86 | $147.91 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $52.48 | $69.18 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $169.82 | Professional | TC · Technical part | $53.70 | $75.86 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $331.13 | Facility | None | $89.13 | $89.13 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $123.03 | $194.98 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $89.13 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $154.88 | Professional | TC · Technical part | $63.10 | $97.72 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $446.68 | Professional | None | $114.82 | $138.04 | $446.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $190.55 | Professional | 26 · Professional part | $54.95 | $66.07 | $190.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $446.68 | Professional | TC · Technical part | $58.88 | $67.61 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $123.03 | $177.83 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $53.70 | $75.86 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $104.71 Typical High $147.91 | Professional | TC · Technical part | $63.10 | $104.71 | $147.91 |
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 $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $218.78 | $218.78 | $218.78 |
Where Georgia sits
The same service costs 5.6 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· 29th of 51
$148
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.