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 $245.47 Median $288.40 Typical High $426.58 | Facility | None | $245.47 | $288.40 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $758.58 | Professional | None (both parts) | $245.47 | $288.40 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $89.13 | Professional | 26 · Professional part | $30.20 | $35.48 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $645.65 | Professional | TC · Technical part | $213.80 | $257.04 | $645.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $52.48 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $478.63 Typical High $933.25 | Facility | None | $281.84 | $478.63 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $602.56 | Professional | None (both parts) | $218.78 | $338.84 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $47.86 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $295.12 Typical High $512.86 | Professional | TC · Technical part | $181.97 | $295.12 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $588.84 Typical High $794.33 | Facility | None | $331.13 | $588.84 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $269.15 | $446.68 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $67.61 Typical High $100.00 | Professional | 26 · Professional part | $37.15 | $67.61 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $398.11 Typical High $724.44 | Professional | TC · Technical part | $239.88 | $398.11 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $758.58 | Professional | None | $323.59 | $512.86 | $758.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $380.19 Typical High $436.52 | Professional | None (both parts) | $53.70 | $380.19 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $407.38 Typical High $776.25 | Professional | None (both parts) | $229.09 | $407.38 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $51.29 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $363.08 Typical High $691.83 | Professional | TC · Technical part | $186.21 | $363.08 | $691.83 |
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 $123.03 Median $141.25 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $57.54 Typical High $60.26 | Professional | 53 · Discontinued | $50.12 | $57.54 | $60.26 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $229.09 Typical High $239.88 | Professional | FX · Film X-ray | $194.98 | $229.09 | $239.88 |
Where Georgia sits
The same service costs 3.5 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
$347
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.