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 $91.20 Median $93.33 Typical High $107.15 | Facility | None | $91.20 | $93.33 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $288.40 | Professional | None (both parts) | $83.18 | $100.00 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $74.13 | Professional | 26 · Professional part | $22.39 | $25.70 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $218.78 | Professional | TC · Technical part | $61.66 | $72.44 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $83.18 | $186.21 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $50.12 | Professional | 26 · Professional part | $43.65 | $47.86 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $158.49 Typical High $275.42 | Facility | None | $81.28 | $158.49 | $275.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $81.28 | $114.82 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $47.86 | Professional | 26 · Professional part | $23.99 | $30.20 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $141.25 | Professional | TC · Technical part | $60.26 | $85.11 | $141.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.12 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $25.12 | $77.62 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $177.83 Typical High $269.15 | Facility | None | $123.03 | $177.83 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $102.33 | $151.36 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $28.18 | $41.69 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $218.78 | Professional | TC · Technical part | $72.44 | $114.82 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $398.11 | Professional | None | $107.15 | $125.89 | $398.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $31.62 | $67.61 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $93.33 | $199.53 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $38.02 | $117.49 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $97.72 | $141.25 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $36.31 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $204.17 | Professional | TC · Technical part | $70.79 | $104.71 | $204.17 |
1 more rate 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 FX · Film X-ray Typical Low $66.07 Median $75.86 Typical High $79.43 | Professional | FX · Film X-ray | $66.07 | $75.86 | $79.43 |
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· 28th of 51
$115
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.