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 $151.36 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $151.36 | $275.42 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $154.88 | Professional | 26 · Professional part | $48.98 | $54.95 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $218.78 Typical High $269.15 | Professional | TC · Technical part | $104.71 | $218.78 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $67.61 | $75.86 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $208.93 Typical High $389.05 | Facility | None | $123.03 | $208.93 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $398.11 | Professional | None (both parts) | $128.82 | $177.83 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $43.65 | $60.26 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $302.00 | Professional | TC · Technical part | $85.11 | $117.49 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $269.15 Typical High $331.13 | Facility | None | $181.97 | $269.15 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $144.54 | $257.04 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $46.77 | $74.13 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $95.50 | $165.96 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $512.86 | Professional | None | $147.91 | $199.53 | $512.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $204.17 | Professional | 26 · Professional part | $50.12 | $67.61 | $204.17 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $134.90 Typical High $457.09 | Professional | TC · Technical part | $97.72 | $134.90 | $457.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $48.98 | $123.03 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $147.91 | $213.80 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $63.10 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $63.10 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $151.36 Typical High $263.03 | Professional | TC · Technical part | $97.72 | $151.36 | $263.03 |
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 $75.86 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $75.86 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $30.20 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $158.49 | $218.78 | $218.78 |
Where Georgia sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 21st of 51
$200
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.