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 $104.71 Typical High $104.71 | Facility | None | $91.20 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $316.23 | Professional | None (both parts) | $95.50 | $109.65 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $97.72 | Professional | 26 · Professional part | $28.84 | $34.67 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $75.86 Typical High $223.87 | Professional | TC · Technical part | $66.07 | $75.86 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $194.98 Typical High $229.09 | Professional | None (both parts) | $91.20 | $194.98 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $162.18 Typical High $281.84 | Facility | None | $97.72 | $162.18 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $85.11 | $128.82 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $41.69 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $91.20 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $91.20 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.11 Median $77.62 Typical High $128.82 | Professional | None (both parts) | $33.11 | $77.62 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $181.97 Typical High $316.23 | Facility | None | $125.89 | $181.97 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $112.20 | $181.97 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $37.15 | $54.95 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $125.89 Typical High $223.87 | Professional | TC · Technical part | $74.13 | $125.89 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $269.15 | Professional | None | $120.23 | $144.54 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $104.71 | Professional | 26 · Professional part | $35.48 | $43.65 | $104.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $251.19 | Professional | TC · Technical part | $83.18 | $100.00 | $251.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $112.20 Typical High $181.97 | Professional | None (both parts) | $47.86 | $112.20 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $295.12 | Professional | None (both parts) | $112.20 | $151.36 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $47.86 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $204.17 | Professional | TC · Technical part | $75.86 | $104.71 | $204.17 |
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 $45.71 Median $51.29 Typical High $54.95 | Professional | 52 · Reduced service | $45.71 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.89 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $20.89 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $83.18 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $83.18 | $89.13 |
Where Georgia sits
The same service costs 3.9 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· 25th of 51
$135
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.