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 $54.95 Median $63.10 Typical High $63.10 | Facility | None | $54.95 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $63.10 Typical High $194.98 | Professional | None (both parts) | $58.88 | $63.10 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $77.62 | Professional | 26 · Professional part | $23.44 | $24.55 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.90 Typical High $120.23 | Professional | TC · Technical part | $34.67 | $38.90 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $134.90 | Professional | None (both parts) | $66.07 | $66.07 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $95.50 Typical High $144.54 | Facility | None | $47.86 | $95.50 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $93.33 Typical High $154.88 | Professional | None (both parts) | $64.57 | $93.33 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $33.11 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $57.54 Typical High $97.72 | Professional | TC · Technical part | $40.74 | $57.54 | $97.72 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.30 Median $40.74 Typical High $79.43 | Professional | None (both parts) | $26.30 | $40.74 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $93.33 Typical High $281.84 | Facility | None | $64.57 | $93.33 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $75.86 | $114.82 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $29.51 | $44.67 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $117.49 | Professional | TC · Technical part | $45.71 | $69.18 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $257.04 | Professional | None | $70.79 | $85.11 | $257.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $109.65 | Professional | 26 · Professional part | $27.54 | $34.67 | $109.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $239.88 | Professional | TC · Technical part | $43.65 | $51.29 | $239.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $37.15 | $60.26 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $72.44 | $104.71 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $38.02 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $43.65 | $66.07 | $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 $27.54 Median $31.62 Typical High $33.88 | Professional | 52 · Reduced service | $27.54 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.59 Typical High $13.49 | Professional | 53 · Discontinued | $10.96 | $12.59 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $50.12 Typical High $53.70 | Professional | FX · Film X-ray | $44.67 | $50.12 | $53.70 |
Where Georgia sits
The same service costs 4.4 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· 19th of 51
$93.33
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.