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 $61.66 Median $70.79 Typical High $70.79 | Facility | None | $61.66 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $70.79 Typical High $79.43 | Professional | None (both parts) | $64.57 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.91 Typical High $27.54 | Professional | 26 · Professional part | $22.39 | $22.91 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $47.86 Typical High $52.48 | Professional | TC · Technical part | $41.69 | $47.86 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $177.83 | Facility | None | $69.18 | $107.15 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $60.26 | $100.00 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $25.70 | $33.88 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $107.15 | Professional | TC · Technical part | $48.98 | $69.18 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $331.13 | Facility | None | $81.28 | $81.28 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $79.43 | $144.54 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $45.71 Typical High $70.79 | Professional | 26 · Professional part | $27.54 | $45.71 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $51.29 | $93.33 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $141.25 Typical High $234.42 | Professional | None | $89.13 | $141.25 | $234.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $38.02 | $77.62 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $77.62 | $112.20 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $38.02 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $75.86 Typical High $138.04 | Professional | TC · Technical part | $50.12 | $75.86 | $138.04 |
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 $32.36 Median $35.48 Typical High $38.02 | Professional | 52 · Reduced service | $32.36 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $14.13 Typical High $15.14 | Professional | 53 · Discontinued | $12.88 | $14.13 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $56.23 Typical High $60.26 | Professional | FX · Film X-ray | $48.98 | $56.23 | $60.26 |
Where Georgia sits
The same service costs 4.6 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· 28th of 51
$100
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.