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 $407.38 Median $407.38 Typical High $758.58 | Facility | None | $407.38 | $407.38 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $446.68 Typical High $1,479.11 | Professional | None (both parts) | $407.38 | $446.68 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $213.80 Typical High $501.19 | Professional | 26 · Professional part | $190.55 | $213.80 | $501.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $229.09 Typical High $741.31 | Professional | TC · Technical part | $208.93 | $229.09 | $741.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $380.19 | $380.19 | $616.60 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $380.19 Typical High $436.52 | Professional | 26 · Professional part | $186.21 | $380.19 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $616.60 Typical High $1,698.24 | Facility | None | $269.15 | $616.60 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $616.60 Typical High $1,698.24 | Professional | None (both parts) | $446.68 | $616.60 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $269.15 Typical High $467.74 | Professional | 26 · Professional part | $208.93 | $269.15 | $467.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $338.84 Typical High $1,412.54 | Professional | TC · Technical part | $245.47 | $338.84 | $1,412.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $295.12 | $309.03 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $562.34 Typical High $776.25 | Facility | None | $331.13 | $562.34 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $977.24 Typical High $1,819.70 | Professional | None (both parts) | $549.54 | $977.24 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $389.05 Typical High $691.83 | Professional | 26 · Professional part | $239.88 | $389.05 | $691.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $524.81 Typical High $954.99 | Professional | TC · Technical part | $295.12 | $524.81 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $870.96 Typical High $3,630.78 | Professional | None | $537.03 | $870.96 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $398.11 Typical High $630.96 | Professional | 26 · Professional part | $251.19 | $398.11 | $630.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $467.74 Typical High $3,630.78 | Professional | TC · Technical part | $288.40 | $467.74 | $3,630.78 |
Oscar Health Setting Facility Modifier None Typical Low $1,174.90 Median $5,011.87 Typical High $18,620.87 | Facility | None | $1,174.90 | $5,011.87 | $18,620.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $707.95 | Professional | None (both parts) | $316.23 | $380.19 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $954.99 Typical High $1,479.11 | Professional | None (both parts) | $501.19 | $954.99 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $316.23 Typical High $602.56 | Professional | 26 · Professional part | $218.78 | $316.23 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $562.34 Typical High $1,023.29 | Professional | TC · Technical part | $263.03 | $562.34 | $1,023.29 |
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 $194.98 Median $204.17 Typical High $295.12 | Professional | 52 · Reduced service | $194.98 | $204.17 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $83.18 Typical High $117.49 | Professional | 53 · Discontinued | $79.43 | $83.18 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $331.13 Typical High $363.08 | Professional | FX · Film X-ray | $316.23 | $331.13 | $363.08 |
Where Georgia sits
The same service costs 4.9 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· 33rd of 51
$631
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.