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 $72.44 Median $79.43 Typical High $79.43 | Facility | None | $72.44 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $79.43 Typical High $251.19 | Professional | None (both parts) | $77.62 | $79.43 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $181.97 | Professional | 26 · Professional part | $56.23 | $58.88 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.39 Typical High $67.61 | Professional | TC · Technical part | $20.89 | $22.39 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $112.20 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $112.20 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $91.20 Typical High $239.88 | Facility | None | $36.31 | $91.20 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $112.20 Typical High $316.23 | Professional | None (both parts) | $89.13 | $112.20 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $79.43 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $234.42 | Professional | TC · Technical part | $23.99 | $30.90 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $331.13 | Facility | None | $43.65 | $43.65 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $93.33 | $162.18 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $107.15 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $107.15 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $46.77 Typical High $138.04 | Professional | TC · Technical part | $25.12 | $46.77 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $691.83 | Professional | None | $97.72 | $117.49 | $691.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $288.40 | Professional | 26 · Professional part | $69.18 | $83.18 | $288.40 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.88 Typical High $691.83 | Professional | TC · Technical part | $29.51 | $33.88 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $173.78 Typical High $371.54 | Professional | None (both parts) | $95.50 | $173.78 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $181.97 | Professional | 26 · Professional part | $67.61 | $87.10 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $48.98 Typical High $223.87 | Professional | TC · Technical part | $25.70 | $48.98 | $223.87 |
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 $35.48 Median $39.81 Typical High $43.65 | Professional | 52 · Reduced service | $35.48 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.85 Typical High $17.38 | Professional | 53 · Discontinued | $14.45 | $15.85 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $63.10 Typical High $70.79 | Professional | FX · Film X-ray | $57.54 | $63.10 | $70.79 |
Where Georgia sits
The same service costs 5.2 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· 30th of 51
$112
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.