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 $229.09 Median $245.47 Typical High $371.54 | Facility | None | $229.09 | $245.47 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $645.65 | Professional | None (both parts) | $208.93 | $245.47 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $85.11 | Professional | 26 · Professional part | $32.36 | $36.31 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $549.54 | Professional | TC · Technical part | $177.83 | $208.93 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $79.43 | $208.93 | $338.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $63.10 Typical High $72.44 | Professional | 26 · Professional part | $30.20 | $63.10 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $588.84 | Facility | None | $194.98 | $257.04 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $181.97 | $302.00 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $43.65 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $144.54 | $251.19 | $426.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $48.98 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $48.98 | $275.42 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $467.74 Typical High $691.83 | Facility | None | $316.23 | $467.74 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $316.23 Typical High $831.76 | Professional | None (both parts) | $239.88 | $316.23 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $61.66 Typical High $114.82 | Professional | 26 · Professional part | $38.02 | $61.66 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $275.42 Typical High $707.95 | Professional | TC · Technical part | $194.98 | $275.42 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $549.54 | Professional | None | $302.00 | $416.87 | $549.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $66.07 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $416.87 Typical High $467.74 | Professional | TC · Technical part | $257.04 | $416.87 | $467.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $338.84 Typical High $389.05 | Professional | None (both parts) | $52.48 | $338.84 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $338.84 Typical High $724.44 | Professional | None (both parts) | $177.83 | $338.84 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $35.48 | $52.48 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $295.12 Typical High $616.60 | Professional | TC · Technical part | $141.25 | $295.12 | $616.60 |
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 $104.71 Median $120.23 Typical High $154.88 | Professional | 52 · Reduced service | $104.71 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $48.98 Typical High $61.66 | Professional | 53 · Discontinued | $41.69 | $48.98 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $194.98 Typical High $204.17 | Professional | FX · Film X-ray | $165.96 | $194.98 | $204.17 |
Where Georgia sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 29th of 51
$302
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.