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 $51.29 Median $51.29 Typical High $83.18 | Facility | None | $51.29 | $51.29 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $51.29 Typical High $151.36 | Professional | None (both parts) | $48.98 | $51.29 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $63.10 | Professional | 26 · Professional part | $20.89 | $22.39 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $89.13 | Professional | TC · Technical part | $27.54 | $30.20 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $46.77 | Professional | 26 · Professional part | $33.11 | $45.71 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $72.44 Typical High $120.23 | Facility | None | $43.65 | $72.44 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $67.61 Typical High $125.89 | Professional | None (both parts) | $32.36 | $67.61 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $23.99 | $32.36 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $74.13 | Professional | TC · Technical part | $32.36 | $39.81 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $316.23 | Facility | None | $52.48 | $77.62 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $95.50 Typical High $162.18 | Professional | None (both parts) | $57.54 | $95.50 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $40.74 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $52.48 Typical High $95.50 | Professional | TC · Technical part | $30.90 | $52.48 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $190.55 | Professional | None | $66.07 | $87.10 | $190.55 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $79.43 | Professional | 26 · Professional part | $26.92 | $35.48 | $79.43 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $51.29 Typical High $169.82 | Professional | TC · Technical part | $38.90 | $51.29 | $169.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $26.30 Median $54.95 Typical High $109.65 | Professional | None (both parts) | $26.30 | $54.95 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $57.54 | $81.28 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $35.48 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $44.67 Typical High $77.62 | Professional | TC · Technical part | $31.62 | $44.67 | $77.62 |
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 $22.91 Median $25.70 Typical High $29.51 | Professional | 52 · Reduced service | $22.91 | $25.70 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.23 Typical High $11.75 | Professional | 53 · Discontinued | $9.12 | $10.23 | $11.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $41.69 Typical High $44.67 | Professional | FX · Film X-ray | $36.31 | $41.69 | $44.67 |
Where Georgia sits
The same service costs 3.8 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· 34th of 51
$67.61
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.