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 $331.13 Median $389.05 Typical High $389.05 | Facility | None | $331.13 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $389.05 Typical High $398.11 | Professional | None (both parts) | $331.13 | $389.05 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.90 Typical High $34.67 | Professional | 26 · Professional part | $30.20 | $30.90 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $354.81 Typical High $371.54 | Professional | TC · Technical part | $302.00 | $354.81 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $645.65 Typical High $1,288.25 | Facility | None | $380.19 | $645.65 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $457.09 Typical High $794.33 | Professional | None (both parts) | $275.42 | $457.09 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $45.71 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $416.87 Typical High $707.95 | Professional | TC · Technical part | $257.04 | $416.87 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $812.83 Typical High $1,096.48 | Facility | None | $331.13 | $812.83 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $616.60 Typical High $1,096.48 | Professional | None (both parts) | $363.08 | $616.60 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $64.57 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $588.84 Typical High $1,000.00 | Professional | TC · Technical part | $338.84 | $588.84 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $676.08 Typical High $1,023.29 | Professional | None | $436.52 | $676.08 | $1,023.29 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $524.81 Typical High $575.44 | Professional | None (both parts) | $51.29 | $524.81 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $549.54 Typical High $1,047.13 | Professional | None (both parts) | $302.00 | $549.54 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $33.88 | $48.98 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $512.86 Typical High $977.24 | Professional | TC · Technical part | $263.03 | $512.86 | $977.24 |
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 $165.96 Median $190.55 Typical High $199.53 | Professional | 52 · Reduced service | $165.96 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $77.62 Typical High $81.28 | Professional | 53 · Discontinued | $67.61 | $77.62 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $309.03 Typical High $323.59 | Professional | FX · Film X-ray | $263.03 | $309.03 | $323.59 |
Where Georgia sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 39th of 51
$457
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.