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 $323.59 Median $562.34 Typical High $562.34 | Facility | None | $323.59 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $562.34 Typical High $588.84 | Professional | None (both parts) | $478.63 | $562.34 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $70.79 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $489.78 Typical High $501.19 | Professional | TC · Technical part | $407.38 | $489.78 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $562.34 Typical High $954.99 | Facility | None | $245.47 | $562.34 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $660.69 Typical High $1,174.90 | Professional | None (both parts) | $288.40 | $660.69 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $104.71 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $575.44 Typical High $1,023.29 | Professional | TC · Technical part | $177.83 | $575.44 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $1,174.90 Typical High $1,659.59 | Facility | None | $331.13 | $1,174.90 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $645.65 Typical High $1,949.84 | Professional | None (both parts) | $371.54 | $645.65 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $134.90 Typical High $257.04 | Professional | 26 · Professional part | $85.11 | $134.90 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $537.03 Typical High $1,698.24 | Professional | TC · Technical part | $331.13 | $537.03 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $870.96 Typical High $1,479.11 | Professional | None | $501.19 | $870.96 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $158.49 Typical High $208.93 | Professional | 26 · Professional part | $100.00 | $158.49 | $208.93 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $741.31 Typical High $1,318.26 | Professional | TC · Technical part | $501.19 | $741.31 | $1,318.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $794.33 Typical High $1,000.00 | Professional | None (both parts) | $123.03 | $794.33 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $691.83 Typical High $1,905.46 | Professional | None (both parts) | $257.04 | $691.83 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $117.49 Typical High $229.09 | Professional | 26 · Professional part | $79.43 | $117.49 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $602.56 Typical High $1,659.59 | Professional | TC · Technical part | $173.78 | $602.56 | $1,659.59 |
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 $234.42 Median $281.84 Typical High $295.12 | Professional | 52 · Reduced service | $234.42 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $112.20 Typical High $117.49 | Professional | 53 · Discontinued | $95.50 | $112.20 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $446.68 Typical High $467.74 | Professional | FX · Film X-ray | $380.19 | $446.68 | $467.74 |
Where Georgia sits
The same service costs 6.0 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· 35th of 51
$646
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.