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 $114.82 Median $120.23 Typical High $125.89 | Facility | None | $114.82 | $120.23 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $371.54 | Professional | None (both parts) | $112.20 | $125.89 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $85.11 | Professional | 26 · Professional part | $26.92 | $31.62 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $281.84 | Professional | TC · Technical part | $83.18 | $95.50 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $144.54 | $234.42 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $39.81 | $61.66 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $199.53 Typical High $575.44 | Facility | None | $61.66 | $199.53 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $147.91 Typical High $323.59 | Professional | None (both parts) | $93.33 | $147.91 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $38.02 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $112.20 Typical High $269.15 | Professional | TC · Technical part | $64.57 | $112.20 | $269.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $30.90 | $158.49 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $371.54 Typical High $501.19 | Facility | None | $134.90 | $371.54 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $199.53 Typical High $549.54 | Professional | None (both parts) | $120.23 | $199.53 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $53.70 Typical High $87.10 | Professional | 26 · Professional part | $33.88 | $53.70 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $162.18 Typical High $457.09 | Professional | TC · Technical part | $81.28 | $162.18 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $316.23 | Professional | None | $123.03 | $144.54 | $316.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $102.33 | Professional | 26 · Professional part | $32.36 | $39.81 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $275.42 | Professional | TC · Technical part | $89.13 | $107.15 | $275.42 |
Oscar Health Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $120.23 Typical High $263.03 | Professional | None (both parts) | $35.48 | $120.23 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $467.74 | Professional | None (both parts) | $131.83 | $177.83 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $44.67 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $389.05 | Professional | TC · Technical part | $97.72 | $138.04 | $389.05 |
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 $51.29 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $51.29 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.99 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $23.99 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $95.50 Typical High $102.33 | Professional | FX · Film X-ray | $83.18 | $95.50 | $102.33 |
Where Georgia sits
The same service costs 4.9 times more in Wyoming 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· 34th of 51
$148
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.