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 $51.29 Median $60.26 Typical High $60.26 | Facility | None | $51.29 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $60.26 Typical High $63.10 | Professional | None (both parts) | $54.95 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.76 Typical High $7.76 | Professional | 26 · Professional part | $6.61 | $6.76 | $7.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $53.70 Typical High $54.95 | Professional | TC · Technical part | $48.98 | $53.70 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $120.23 Typical High $208.93 | Facility | None | $67.61 | $120.23 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $79.43 Typical High $144.54 | Professional | None (both parts) | $51.29 | $79.43 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $10.00 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $69.18 Typical High $131.83 | Professional | TC · Technical part | $42.66 | $69.18 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $269.15 | Facility | None | $97.72 | $134.90 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $63.10 | $112.20 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.79 Typical High $22.39 | Professional | 26 · Professional part | $8.32 | $14.79 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $57.54 | $100.00 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $186.21 | Professional | None | $79.43 | $125.89 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $97.72 Typical High $186.21 | Professional | None (both parts) | $57.54 | $97.72 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $20.89 | Professional | 26 · Professional part | $8.32 | $11.75 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $47.86 | $87.10 | $165.96 |
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 $27.54 Median $30.20 Typical High $31.62 | Professional | 52 · Reduced service | $27.54 | $30.20 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $12.59 | Professional | 53 · Discontinued | $10.96 | $12.02 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $47.86 Typical High $50.12 | Professional | FX · Film X-ray | $41.69 | $47.86 | $50.12 |
Where Georgia sits
The same service costs 8.1 times more in Alabama 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· 38th of 51
$83.18
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.