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 $151.36 Median $169.82 Typical High $169.82 | Facility | None | $151.36 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $169.82 Typical High $446.68 | Professional | None (both parts) | $154.88 | $169.82 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $199.53 | Professional | 26 · Professional part | $72.44 | $75.86 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $257.04 | Professional | TC · Technical part | $81.28 | $97.72 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $186.21 | $323.59 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $158.49 | $165.96 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $213.80 Typical High $371.54 | Facility | None | $120.23 | $213.80 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $125.89 | $213.80 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $177.83 | Professional | 26 · Professional part | $81.28 | $109.65 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $70.79 | $120.23 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $331.13 | Facility | None | $165.96 | $165.96 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $186.21 | $295.12 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $229.09 | Professional | 26 · Professional part | $93.33 | $131.83 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $165.96 Typical High $295.12 | Professional | TC · Technical part | $97.72 | $165.96 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $416.87 | Professional | None | $199.53 | $234.42 | $416.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $223.87 | Professional | 26 · Professional part | $87.10 | $107.15 | $223.87 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $371.54 | Professional | TC · Technical part | $109.65 | $128.82 | $371.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $100.00 | $165.96 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $489.78 | Professional | None (both parts) | $181.97 | $251.19 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $213.80 | Professional | 26 · Professional part | $89.13 | $117.49 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $81.28 | $138.04 | $269.15 |
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 $85.11 Typical High $91.20 | Professional | 52 · Reduced service | $75.86 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $33.88 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $134.90 Typical High $147.91 | Professional | FX · Film X-ray | $120.23 | $134.90 | $147.91 |
Where Georgia sits
The same service costs 5.8 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· 27th of 51
$214
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.