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 $302.00 Median $302.00 Typical High $467.74 | Facility | None | $302.00 | $302.00 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $309.03 Typical High $794.33 | Professional | None (both parts) | $288.40 | $309.03 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $125.89 | Professional | 26 · Professional part | $47.86 | $53.70 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $257.04 Typical High $676.08 | Professional | TC · Technical part | $234.42 | $257.04 | $676.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $91.20 | Professional | 26 · Professional part | $48.98 | $79.43 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $501.19 Typical High $933.25 | Facility | None | $288.40 | $501.19 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $239.88 | $363.08 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $120.23 | Professional | 26 · Professional part | $50.12 | $72.44 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $302.00 Typical High $524.81 | Professional | TC · Technical part | $186.21 | $302.00 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $588.84 Typical High $812.83 | Facility | None | $331.13 | $588.84 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $501.19 Typical High $891.25 | Professional | None (both parts) | $302.00 | $501.19 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $100.00 Typical High $151.36 | Professional | 26 · Professional part | $57.54 | $100.00 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $426.58 Typical High $741.31 | Professional | TC · Technical part | $251.19 | $426.58 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $812.83 | Professional | None | $346.74 | $549.54 | $812.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $380.19 Typical High $467.74 | Professional | None (both parts) | $81.28 | $380.19 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $436.52 Typical High $831.76 | Professional | None (both parts) | $257.04 | $436.52 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $77.62 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $371.54 Typical High $707.95 | Professional | TC · Technical part | $194.98 | $371.54 | $707.95 |
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 $134.90 Median $151.36 Typical High $162.18 | Professional | 52 · Reduced service | $134.90 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $60.26 Typical High $64.57 | Professional | 53 · Discontinued | $53.70 | $60.26 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $245.47 Typical High $257.04 | Professional | FX · Film X-ray | $208.93 | $245.47 | $257.04 |
Where Georgia sits
The same service costs 4.0 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· 34th of 51
$380
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.