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 $125.89 Median $138.04 Typical High $138.04 | Facility | None | $125.89 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $125.89 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $85.11 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $63.10 | Professional | TC · Technical part | $44.67 | $52.48 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $128.82 Typical High $204.17 | Facility | None | $77.62 | $128.82 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $102.33 | $204.17 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $194.98 | Professional | 26 · Professional part | $89.13 | $117.49 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $77.62 | $134.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $331.13 | Facility | None | $125.89 | $125.89 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $169.82 | $275.42 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $162.18 Typical High $275.42 | Professional | 26 · Professional part | $104.71 | $162.18 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $61.66 | $97.72 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $338.84 Typical High $446.68 | Professional | None | $177.83 | $338.84 | $446.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $213.80 | Professional | 26 · Professional part | $104.71 | $131.83 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $120.23 Typical High $446.68 | Professional | TC · Technical part | $67.61 | $120.23 | $446.68 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $426.58 | Professional | None (both parts) | $165.96 | $239.88 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $141.25 Typical High $239.88 | Professional | 26 · Professional part | $100.00 | $141.25 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $194.98 | Professional | TC · Technical part | $66.07 | $95.50 | $194.98 |
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 $63.10 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $63.10 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $25.12 | $27.54 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $109.65 Typical High $123.03 | Professional | FX · Film X-ray | $100.00 | $109.65 | $123.03 |
Where Georgia sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 20th of 51
$204
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.