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 $309.03 Median $346.74 Typical High $346.74 | Facility | None | $309.03 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $346.74 | $346.74 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $239.88 | Professional | 26 · Professional part | $169.82 | $169.82 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $177.83 Typical High $186.21 | Professional | TC · Technical part | $165.96 | $177.83 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $331.13 Typical High $776.25 | Facility | None | $186.21 | $331.13 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $467.74 Typical High $758.58 | Professional | None (both parts) | $288.40 | $467.74 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $239.88 Typical High $416.87 | Professional | 26 · Professional part | $169.82 | $239.88 | $416.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $234.42 Typical High $389.05 | Professional | TC · Technical part | $120.23 | $234.42 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $660.69 | Facility | None | $331.13 | $457.09 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $588.84 Typical High $1,258.93 | Professional | None (both parts) | $389.05 | $588.84 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $316.23 Typical High $616.60 | Professional | 26 · Professional part | $204.17 | $316.23 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $676.08 | Professional | TC · Technical part | $181.97 | $263.03 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $724.44 Typical High $912.01 | Professional | None | $478.63 | $724.44 | $912.01 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $354.81 Typical High $501.19 | Professional | 26 · Professional part | $223.87 | $354.81 | $501.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $812.83 | Professional | TC · Technical part | $251.19 | $398.11 | $812.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $323.59 Typical High $630.96 | Professional | None (both parts) | $288.40 | $323.59 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $1,122.02 | Professional | None (both parts) | $309.03 | $512.86 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $281.84 Typical High $549.54 | Professional | 26 · Professional part | $186.21 | $281.84 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $257.04 Typical High $602.56 | Professional | TC · Technical part | $120.23 | $257.04 | $602.56 |
4 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 $173.78 Median $173.78 Typical High $204.17 | Professional | 52 · Reduced service | $173.78 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $100.00 | Professional | 53 · Discontinued | $69.18 | $69.18 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $245.47 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $239.88 | $245.47 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $281.84 Typical High $316.23 | Professional | FX · Film X-ray | $275.42 | $281.84 | $316.23 |
Where Georgia sits
The same service costs 5.6 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
$468
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.