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 $489.78 Median $954.99 Typical High $954.99 | Facility | None | $489.78 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $954.99 Typical High $1,000.00 | Professional | None (both parts) | $794.33 | $954.99 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $114.82 | Professional | 26 · Professional part | $81.28 | $81.28 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $870.96 Typical High $891.25 | Professional | TC · Technical part | $724.44 | $870.96 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $1,122.02 Typical High $2,511.89 | Facility | None | $501.19 | $1,122.02 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $1,148.15 Typical High $1,949.84 | Professional | None (both parts) | $346.74 | $1,148.15 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $117.49 Typical High $208.93 | Professional | 26 · Professional part | $93.33 | $117.49 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $1,047.13 Typical High $1,778.28 | Professional | TC · Technical part | $199.53 | $1,047.13 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $2,041.74 Typical High $2,951.21 | Facility | None | $331.13 | $2,041.74 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,380.38 Typical High $3,235.94 | Professional | None (both parts) | $630.96 | $1,380.38 | $3,235.94 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $173.78 Typical High $295.12 | Professional | 26 · Professional part | $102.33 | $173.78 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,258.93 Typical High $3,019.95 | Professional | TC · Technical part | $776.25 | $1,258.93 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $1,230.27 Typical High $2,290.87 | Professional | None | $645.65 | $1,230.27 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $169.82 Typical High $263.03 | Professional | 26 · Professional part | $107.15 | $169.82 | $263.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $1,122.02 Typical High $1,995.26 | Professional | TC · Technical part | $645.65 | $1,122.02 | $1,995.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $1,412.54 Typical High $1,548.82 | Professional | None (both parts) | $138.04 | $1,412.54 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $1,288.25 Typical High $2,884.03 | Professional | None (both parts) | $363.08 | $1,288.25 | $2,884.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $134.90 Typical High $257.04 | Professional | 26 · Professional part | $95.50 | $134.90 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $1,174.90 Typical High $2,630.27 | Professional | TC · Technical part | $346.74 | $1,174.90 | $2,630.27 |
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 $398.11 Median $478.63 Typical High $501.19 | Professional | 52 · Reduced service | $398.11 | $478.63 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $190.55 Typical High $199.53 | Professional | 53 · Discontinued | $162.18 | $190.55 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $645.65 Median $758.58 Typical High $794.33 | Professional | FX · Film X-ray | $645.65 | $758.58 | $794.33 |
Where Georgia sits
The same service costs 5.5 times more in Alaska than in Indiana. 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
$1,148
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.