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 $128.82 Median $151.36 Typical High $151.36 | Facility | None | $128.82 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $158.49 | Professional | None (both parts) | $134.90 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $20.89 | Professional | 26 · Professional part | $18.20 | $18.20 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $138.04 | Professional | TC · Technical part | $117.49 | $131.83 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $257.04 Typical High $489.78 | Facility | None | $141.25 | $257.04 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $120.23 | $181.97 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $20.42 | $27.54 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $158.49 Typical High $281.84 | Professional | TC · Technical part | $97.72 | $158.49 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $316.23 Typical High $426.58 | Facility | None | $208.93 | $316.23 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $446.68 | Professional | None (both parts) | $147.91 | $239.88 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $21.88 | $36.31 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $223.87 Typical High $389.05 | Professional | TC · Technical part | $128.82 | $223.87 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $281.84 Typical High $416.87 | Professional | None | $177.83 | $281.84 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $125.89 | $213.80 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $20.42 | $29.51 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $190.55 Typical High $363.08 | Professional | TC · Technical part | $102.33 | $190.55 | $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 $67.61 Median $75.86 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $26.92 | $30.20 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $120.23 Typical High $125.89 | Professional | FX · Film X-ray | $102.33 | $120.23 | $125.89 |
Where Georgia sits
The same service costs 4.7 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· 38th of 51
$182
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.