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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $281.84 | Professional | None (both parts) | $79.43 | $89.13 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $83.18 | Professional | 26 · Professional part | $23.99 | $26.92 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $199.53 | Professional | TC · Technical part | $54.95 | $64.57 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $125.89 Typical High $131.83 | Professional | 26 · Professional part | $38.02 | $125.89 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $141.25 Typical High $245.47 | Facility | None | $85.11 | $141.25 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $181.97 | Professional | None (both parts) | $75.86 | $112.20 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $36.31 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $79.43 Typical High $128.82 | Professional | TC · Technical part | $52.48 | $79.43 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $154.88 Typical High $269.15 | Facility | None | $104.71 | $154.88 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $100.00 | $154.88 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $46.77 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $66.07 | $112.20 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $239.88 | Professional | None | $97.72 | $117.49 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $89.13 | Professional | 26 · Professional part | $28.84 | $36.31 | $89.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $239.88 | Professional | TC · Technical part | $69.18 | $79.43 | $239.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $42.66 | $102.33 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $97.72 | $134.90 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $30.20 | $39.81 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $177.83 | Professional | TC · Technical part | $67.61 | $93.33 | $177.83 |
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 $38.90 Median $44.67 Typical High $47.86 | Professional | 52 · Reduced service | $38.90 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.20 Typical High $19.50 | Professional | 53 · Discontinued | $15.85 | $18.20 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $72.44 Typical High $77.62 | Professional | FX · Film X-ray | $63.10 | $72.44 | $77.62 |
Where Georgia sits
The same service costs 4.2 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· 26th of 51
$117
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.