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 $257.04 Median $302.00 Typical High $302.00 | Facility | None | $257.04 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $512.86 | Professional | None (both parts) | $263.03 | $302.00 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $38.90 | $41.69 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $398.11 | Professional | TC · Technical part | $223.87 | $257.04 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $38.02 | $38.02 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $954.99 | Facility | None | $302.00 | $501.19 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $354.81 Typical High $630.96 | Professional | None (both parts) | $239.88 | $354.81 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $43.65 | $60.26 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $537.03 | Professional | TC · Technical part | $199.53 | $302.00 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $812.83 | Facility | None | $331.13 | $602.56 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $302.00 | $501.19 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $46.77 | $85.11 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $741.31 | Professional | TC · Technical part | $257.04 | $436.52 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $549.54 Typical High $794.33 | Professional | None | $338.84 | $549.54 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $436.52 Typical High $831.76 | Professional | None (both parts) | $269.15 | $436.52 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $44.67 | $64.57 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $380.19 Typical High $707.95 | Professional | TC · Technical part | $218.78 | $380.19 | $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 $131.83 Median $151.36 Typical High $158.49 | Professional | 52 · Reduced service | $131.83 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $60.26 Typical High $63.10 | Professional | 53 · Discontinued | $52.48 | $60.26 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $239.88 Typical High $251.19 | Professional | FX · Film X-ray | $204.17 | $239.88 | $251.19 |
Where Georgia sits
The same service costs 3.8 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· 30th 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.