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 $109.65 Median $120.23 Typical High $275.42 | Facility | None | $109.65 | $120.23 | $275.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $47.86 | Facility | 26 · Professional part | $29.51 | $31.62 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $81.28 Typical High $154.88 | Facility | TC · Technical part | $75.86 | $81.28 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $354.81 | Professional | None (both parts) | $104.71 | $125.89 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $97.72 | Professional | 26 · Professional part | $30.90 | $36.31 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $263.03 | Professional | TC · Technical part | $74.13 | $87.10 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $102.33 | $134.90 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $30.20 | $47.86 | $67.61 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $69.18 | $177.83 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $190.55 Typical High $251.19 | Facility | None | $112.20 | $190.55 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $117.49 | $154.88 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $74.13 | Professional | 26 · Professional part | $33.11 | $42.66 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $85.11 | $112.20 | $186.21 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $91.20 Typical High $158.49 | Professional | None (both parts) | $36.31 | $91.20 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $257.04 Typical High $316.23 | Facility | None | $190.55 | $257.04 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $134.90 | $199.53 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $56.23 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $95.50 | $144.54 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $151.36 Typical High $331.13 | Professional | None | $34.67 | $151.36 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $44.67 | $93.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $239.88 | Professional | TC · Technical part | $93.33 | $112.20 | $239.88 |
Oscar Health Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $741.31 | Facility | None | $190.55 | $229.09 | $741.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $38.90 | $120.23 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $138.04 | $204.17 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $38.02 | $54.95 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $144.54 | $223.87 |
1 more rate 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 FX · Film X-ray Typical Low $79.43 Median $89.13 Typical High $95.50 | Professional | FX · Film X-ray | $79.43 | $89.13 | $95.50 |
Where Georgia sits
The same service costs 5.4 times more in Vermont 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· 24th of 51
$155
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.