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 $58.88 Median $67.61 Typical High $67.61 | Facility | None | $58.88 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $67.61 Typical High $125.89 | Professional | None (both parts) | $58.88 | $67.61 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $26.92 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $39.81 Typical High $74.13 | Professional | TC · Technical part | $33.88 | $39.81 | $74.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $147.91 | Facility | None | $70.79 | $107.15 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $83.18 Typical High $165.96 | Professional | None (both parts) | $48.98 | $83.18 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $38.90 | $66.07 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $158.49 Typical High $263.03 | Professional | 50 · Both sides | $117.49 | $158.49 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $43.65 | $67.61 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $95.50 Typical High $281.84 | Facility | None | $67.61 | $95.50 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $91.20 | $141.25 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $53.70 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $53.70 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $54.95 | $83.18 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $93.33 Typical High $263.03 | Professional | None | $77.62 | $93.33 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $40.74 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $53.70 Typical High $234.42 | Professional | TC · Technical part | $44.67 | $53.70 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $91.20 | $123.03 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $34.67 | $44.67 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $54.95 | $77.62 | $117.49 |
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 $29.51 Median $33.11 Typical High $36.31 | Professional | 52 · Reduced service | $29.51 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.49 Typical High $14.45 | Professional | 53 · Discontinued | $11.75 | $13.49 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $53.70 Typical High $57.54 | Professional | FX · Film X-ray | $46.77 | $53.70 | $57.54 |
Where Georgia sits
The same service costs 3.7 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· 28th of 51
$97.72
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.