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 $53.70 Median $61.66 Typical High $61.66 | Facility | None | $53.70 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $61.66 Typical High $64.57 | Professional | None (both parts) | $56.23 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $9.55 | Professional | 26 · Professional part | $8.13 | $8.13 | $9.55 |
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 $77.62 Median $125.89 Typical High $208.93 | Facility | None | $77.62 | $125.89 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $95.50 Typical High $147.91 | Professional | None (both parts) | $67.61 | $95.50 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $9.12 | $12.02 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $83.18 | $125.89 |
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 $72.44 Median $138.04 Typical High $194.98 | Professional | None (both parts) | $72.44 | $138.04 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.78 Typical High $26.30 | Professional | 26 · Professional part | $10.00 | $17.78 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $63.10 | $117.49 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $218.78 | Professional | None | $81.28 | $128.82 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $102.33 Typical High $190.55 | Professional | None (both parts) | $74.13 | $102.33 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $26.92 | Professional | 26 · Professional part | $10.00 | $14.13 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $91.20 | $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 $28.18 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $28.18 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $11.48 | $12.30 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $48.98 Typical High $52.48 | Professional | FX · Film X-ray | $42.66 | $48.98 | $52.48 |
Where Georgia sits
The same service costs 7.2 times more in Alabama than in Texas. 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
$95.50
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.