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 $69.18 Typical High $112.20 | Facility | None | $69.18 | $69.18 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $69.18 Typical High $190.55 | Professional | None (both parts) | $60.26 | $69.18 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $89.13 | Professional | 26 · Professional part | $25.70 | $27.54 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $107.15 | Professional | TC · Technical part | $34.67 | $40.74 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $89.13 Typical High $165.96 | Facility | None | $21.88 | $89.13 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $85.11 Typical High $144.54 | Professional | None (both parts) | $56.23 | $85.11 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $21.38 | $33.88 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $52.48 Typical High $107.15 | Professional | TC · Technical part | $33.11 | $52.48 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $331.13 | Facility | None | $75.86 | $75.86 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $85.11 Typical High $218.78 | Professional | None (both parts) | $63.10 | $85.11 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $85.11 | Professional | 26 · Professional part | $28.18 | $41.69 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $45.71 Typical High $134.90 | Professional | TC · Technical part | $33.11 | $45.71 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $213.80 | Professional | None | $83.18 | $97.72 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $38.90 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $194.98 | Professional | TC · Technical part | $51.29 | $58.88 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $61.66 | $100.00 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $37.15 Typical High $85.11 | Professional | 26 · Professional part | $21.88 | $37.15 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $56.23 Typical High $134.90 | Professional | TC · Technical part | $34.67 | $56.23 | $134.90 |
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 $30.20 Median $34.67 Typical High $37.15 | Professional | 52 · Reduced service | $30.20 | $34.67 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.80 Typical High $14.79 | Professional | 53 · Discontinued | $12.02 | $13.80 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $54.95 Typical High $58.88 | Professional | FX · Film X-ray | $48.98 | $54.95 | $58.88 |
Where Georgia sits
The same service costs 5.9 times more in Alaska than in Texas. 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· 23rd of 51
$85.11
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.