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 $186.21 Median $213.80 Typical High $213.80 | Facility | None | $186.21 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $213.80 Typical High $223.87 | Professional | None (both parts) | $190.55 | $213.80 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $37.15 | Professional | 26 · Professional part | $31.62 | $32.36 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $190.55 | Professional | TC · Technical part | $158.49 | $181.97 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $363.08 Typical High $676.08 | Facility | None | $234.42 | $363.08 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $177.83 | $269.15 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $34.67 | $47.86 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $223.87 Typical High $380.19 | Professional | TC · Technical part | $147.91 | $223.87 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $426.58 Typical High $575.44 | Facility | None | $281.84 | $426.58 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $380.19 Typical High $630.96 | Professional | None (both parts) | $223.87 | $380.19 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $69.18 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $323.59 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $323.59 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $575.44 | Professional | None | $245.47 | $398.11 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $309.03 Typical High $588.84 | Professional | None (both parts) | $208.93 | $309.03 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $36.31 | $51.29 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $501.19 | Professional | TC · Technical part | $177.83 | $263.03 | $501.19 |
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 $95.50 Median $107.15 Typical High $112.20 | Professional | 52 · Reduced service | $95.50 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $42.66 Typical High $44.67 | Professional | 53 · Discontinued | $38.02 | $42.66 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $169.82 Typical High $181.97 | Professional | FX · Film X-ray | $147.91 | $169.82 | $181.97 |
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· 33rd of 51
$282
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.