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 $47.86 Median $56.23 Typical High $56.23 | Facility | None | $47.86 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $74.13 | Professional | None (both parts) | $47.86 | $56.23 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.50 Typical High $25.70 | Professional | 26 · Professional part | $16.98 | $19.50 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $85.11 | Professional | TC · Technical part | $57.54 | $67.61 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $169.82 Typical High $257.04 | Facility | None | $114.82 | $169.82 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $66.07 Typical High $190.55 | Professional | None (both parts) | $52.48 | $66.07 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $66.07 | Professional | 26 · Professional part | $18.62 | $22.91 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $177.83 | Professional | TC · Technical part | $61.66 | $93.33 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $112.20 Typical High $269.15 | Facility | None | $75.86 | $112.20 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $112.20 Typical High $389.05 | Professional | None (both parts) | $63.10 | $112.20 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $38.90 Typical High $134.90 | Professional | 26 · Professional part | $21.88 | $38.90 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $70.79 Typical High $208.93 | Professional | TC · Technical part | $41.69 | $70.79 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $501.19 | Professional | None | $218.78 | $263.03 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $77.62 | $93.33 | $177.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $331.13 | Professional | TC · Technical part | $144.54 | $169.82 | $331.13 |
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 $24.55 Median $28.18 Typical High $30.20 | Professional | 52 · Reduced service | $24.55 | $28.18 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $11.22 Typical High $12.02 | Professional | 53 · Discontinued | $9.77 | $11.22 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $44.67 Typical High $47.86 | Professional | FX · Film X-ray | $38.90 | $44.67 | $47.86 |
Where Georgia sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 42nd of 51
$66.07
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.