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 $35.48 Median $39.81 Typical High $39.81 | Facility | None | $35.48 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $39.81 Typical High $60.26 | Professional | None (both parts) | $35.48 | $39.81 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.05 Typical High $27.54 | Professional | 26 · Professional part | $17.38 | $19.05 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $32.36 | Professional | TC · Technical part | $17.78 | $20.89 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $74.13 Typical High $91.20 | Facility | None | $42.66 | $74.13 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $69.18 Typical High $131.83 | Professional | None (both parts) | $45.71 | $69.18 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $64.57 | Professional | 26 · Professional part | $22.39 | $30.90 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $41.69 Typical High $72.44 | Professional | TC · Technical part | $23.44 | $41.69 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $54.95 Typical High $269.15 | Facility | None | $38.90 | $54.95 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $91.20 Typical High $138.04 | Professional | None (both parts) | $54.95 | $91.20 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $23.44 | $42.66 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $48.98 Typical High $72.44 | Professional | TC · Technical part | $31.62 | $48.98 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $190.55 | Professional | None | $48.98 | $57.54 | $190.55 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $72.44 | Professional | 26 · Professional part | $22.39 | $28.18 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.90 Typical High $190.55 | Professional | TC · Technical part | $25.70 | $30.90 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $79.43 Typical High $128.82 | Professional | None (both parts) | $48.98 | $79.43 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $23.44 | $34.67 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $25.70 | $46.77 | $67.61 |
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 $17.38 Median $19.95 Typical High $22.39 | Professional | 52 · Reduced service | $17.38 | $19.95 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.94 Typical High $8.91 | Professional | 53 · Discontinued | $7.08 | $7.94 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $31.62 Typical High $34.67 | Professional | FX · Film X-ray | $28.18 | $31.62 | $34.67 |
Where Georgia sits
The same service costs 4.5 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· 24th of 51
$69.18
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.