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 $69.18 Median $79.43 Typical High $79.43 | Facility | None | $69.18 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $79.43 Typical High $89.13 | Professional | None (both parts) | $69.18 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $34.67 | Professional | 26 · Professional part | $26.92 | $28.84 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $54.95 | Professional | TC · Technical part | $42.66 | $50.12 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $114.82 Typical High $204.17 | Facility | None | $67.61 | $114.82 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $109.65 Typical High $177.83 | Professional | None (both parts) | $33.88 | $109.65 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $32.36 | $39.81 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $47.86 | $67.61 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $331.13 | Facility | None | $85.11 | $85.11 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $169.82 Typical High $239.88 | Professional | None (both parts) | $91.20 | $169.82 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $33.88 | $57.54 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $104.71 Typical High $165.96 | Professional | TC · Technical part | $57.54 | $104.71 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $263.03 | Professional | None | $100.00 | $117.49 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $91.20 | $123.03 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $48.98 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $56.23 | $79.43 | $154.88 |
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 $34.67 Median $39.81 Typical High $44.67 | Professional | 52 · Reduced service | $34.67 | $39.81 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.85 Typical High $17.78 | Professional | 53 · Discontinued | $13.80 | $15.85 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $63.10 Typical High $67.61 | Professional | FX · Film X-ray | $56.23 | $63.10 | $67.61 |
Where Georgia sits
The same service costs 4.6 times more in Alaska than in Oregon. 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
$110
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.