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 $1,548.82 Median $1,621.81 Typical High $3,019.95 | Facility | None | $1,548.82 | $1,621.81 | $3,019.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,698.24 Typical High $4,365.16 | Professional | None (both parts) | $1,548.82 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $398.11 Typical High $933.25 | Professional | 26 · Professional part | $354.81 | $398.11 | $933.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,288.25 Typical High $3,388.44 | Professional | TC · Technical part | $1,202.26 | $1,288.25 | $3,388.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,513.56 Typical High $2,454.71 | Professional | None (both parts) | $1,318.26 | $1,513.56 | $2,454.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $707.95 Typical High $812.83 | Professional | 26 · Professional part | $346.74 | $707.95 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $2,344.23 Typical High $4,365.16 | Facility | None | $1,862.09 | $2,344.23 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,041.74 Typical High $3,890.45 | Professional | None (both parts) | $1,479.11 | $2,041.74 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $501.19 Typical High $831.76 | Professional | 26 · Professional part | $389.05 | $501.19 | $831.76 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,584.89 Typical High $3,162.28 | Professional | TC · Technical part | $1,148.15 | $1,584.89 | $3,162.28 |
CareSource Setting Professional Modifier None (both parts) Typical Low $549.54 Median $1,698.24 Typical High $2,290.87 | Professional | None (both parts) | $549.54 | $1,698.24 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $2,951.21 Typical High $4,265.80 | Facility | None | $331.13 | $2,951.21 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $3,019.95 Typical High $5,623.41 | Professional | None (both parts) | $1,905.46 | $3,019.95 | $5,623.41 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $660.69 Typical High $1,288.25 | Professional | 26 · Professional part | $426.58 | $660.69 | $1,288.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $2,398.83 Typical High $4,365.16 | Professional | TC · Technical part | $1,513.56 | $2,398.83 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $3,467.37 Typical High $5,623.41 | Professional | None | $2,187.76 | $3,467.37 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $645.65 Typical High $1,047.13 | Professional | 26 · Professional part | $467.74 | $645.65 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $2,754.23 Typical High $4,570.88 | Professional | TC · Technical part | $1,737.80 | $2,754.23 | $4,570.88 |
Oscar Health Setting Facility Modifier None Typical Low $3,388.44 Median $8,128.31 Typical High $20,417.38 | Facility | None | $3,388.44 | $8,128.31 | $20,417.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $2,290.87 Typical High $2,951.21 | Professional | None (both parts) | $645.65 | $2,290.87 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,691.53 Typical High $5,623.41 | Professional | None (both parts) | $1,698.24 | $2,691.53 | $5,623.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $562.34 Typical High $1,288.25 | Professional | 26 · Professional part | $389.05 | $562.34 | $1,288.25 |
United Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $2,137.96 Typical High $4,365.16 | Professional | TC · Technical part | $1,318.26 | $2,137.96 | $4,365.16 |
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 $741.31 Median $812.83 Typical High $870.96 | Professional | 52 · Reduced service | $741.31 | $812.83 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $323.59 Typical High $346.74 | Professional | 53 · Discontinued | $295.12 | $323.59 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,202.26 Median $1,288.25 Typical High $1,380.38 | Professional | FX · Film X-ray | $1,202.26 | $1,288.25 | $1,380.38 |
Where Georgia sits
The same service costs 4.4 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· 35th of 51
$2,138
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.