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 $102.33 Typical High $102.33 | Facility | None | $91.20 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $91.20 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $51.29 | $54.95 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $54.95 | Professional | TC · Technical part | $39.81 | $46.77 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $109.65 Typical High $186.21 | Facility | None | $72.44 | $109.65 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $64.57 | $138.04 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $77.62 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $125.89 | Professional | TC · Technical part | $54.95 | $70.79 | $125.89 |
CareSource Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $331.13 | Facility | None | $107.15 | $107.15 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $125.89 | $208.93 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $173.78 | Professional | 26 · Professional part | $69.18 | $102.33 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $147.91 | Professional | TC · Technical part | $56.23 | $87.10 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $245.47 Typical High $323.59 | Professional | None | $128.82 | $245.47 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $81.28 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $107.15 Typical High $323.59 | Professional | TC · Technical part | $58.88 | $107.15 | $323.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $117.49 | $181.97 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $89.13 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $89.13 Typical High $162.18 | Professional | TC · Technical part | $60.26 | $89.13 | $162.18 |
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 $58.88 | Professional | 52 · Reduced service | $45.71 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $18.20 | $20.42 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $81.28 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $81.28 | $89.13 |
Where Georgia sits
The same service costs 4.5 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· 22nd of 51
$145
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.