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 $125.89 Median $147.91 Typical High $147.91 | Facility | None | $125.89 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $154.88 | Professional | None (both parts) | $128.82 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.13 Typical High $16.22 | Professional | 26 · Professional part | $13.80 | $14.13 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $138.04 | Professional | TC · Technical part | $114.82 | $134.90 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $275.42 Typical High $489.78 | Facility | None | $162.18 | $275.42 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $120.23 | $173.78 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.89 Typical High $40.74 | Professional | 26 · Professional part | $15.49 | $20.89 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $154.88 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $154.88 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $416.87 | Facility | None | $213.80 | $302.00 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $151.36 | $251.19 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $16.98 | $30.90 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $239.88 Typical High $380.19 | Professional | TC · Technical part | $134.90 | $239.88 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $426.58 | Professional | None | $173.78 | $275.42 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $138.04 | $229.09 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.99 Typical High $44.67 | Professional | 26 · Professional part | $17.38 | $23.99 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $117.49 | $204.17 | $363.08 |
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 $64.57 Median $74.13 Typical High $77.62 | Professional | 52 · Reduced service | $64.57 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $29.51 Typical High $30.90 | Professional | 53 · Discontinued | $25.70 | $29.51 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $117.49 Typical High $123.03 | Professional | FX · Film X-ray | $102.33 | $117.49 | $123.03 |
Where Georgia sits
The same service costs 4.5 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· 38th of 51
$191
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.