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 $281.84 Median $295.12 Typical High $501.19 | Facility | None | $281.84 | $295.12 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $758.58 | Professional | None (both parts) | $251.19 | $302.00 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $114.82 | Professional | 26 · Professional part | $38.90 | $45.71 | $114.82 |
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 $42.66 Median $61.66 Typical High $89.13 | Professional | 26 · Professional part | $42.66 | $61.66 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $933.25 | Facility | None | $302.00 | $501.19 | $933.25 |
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 $45.71 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $45.71 | $61.66 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $524.81 | Professional | TC · Technical part | $199.53 | $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 $870.96 | Professional | None (both parts) | $302.00 | $501.19 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $87.10 | $128.82 |
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 $338.84 Median $537.03 Typical High $794.33 | Professional | None | $338.84 | $537.03 | $794.33 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $380.19 Typical High $457.09 | Professional | None (both parts) | $69.18 | $380.19 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $436.52 Typical High $812.83 | Professional | None (both parts) | $269.15 | $436.52 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $66.07 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $707.95 | Professional | TC · Technical part | $218.78 | $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 $131.83 Median $147.91 Typical High $154.88 | Professional | 52 · Reduced service | $131.83 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $58.88 Typical High $63.10 | Professional | 53 · Discontinued | $52.48 | $58.88 | $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 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· 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.