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 $151.36 Median $177.83 Typical High $177.83 | Facility | None | $151.36 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $151.36 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $23.99 | Professional | 26 · Professional part | $20.42 | $20.89 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $162.18 | Professional | TC · Technical part | $131.83 | $154.88 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $295.12 Typical High $588.84 | Facility | None | $147.91 | $295.12 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $208.93 Typical High $354.81 | Professional | None (both parts) | $112.20 | $208.93 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $22.39 | $30.20 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $177.83 Typical High $309.03 | Professional | TC · Technical part | $93.33 | $177.83 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $363.08 Typical High $489.78 | Facility | None | $218.78 | $363.08 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $158.49 | $257.04 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $23.99 | $42.66 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $234.42 Typical High $446.68 | Professional | TC · Technical part | $138.04 | $234.42 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $436.52 | Professional | None | $186.21 | $269.15 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $239.88 Typical High $457.09 | Professional | None (both parts) | $123.03 | $239.88 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $22.91 | $32.36 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $204.17 Typical High $398.11 | Professional | TC · Technical part | $95.50 | $204.17 | $398.11 |
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 $75.86 Median $87.10 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $35.48 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $35.48 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $141.25 Typical High $147.91 | Professional | FX · Film X-ray | $120.23 | $141.25 | $147.91 |
Where Georgia sits
The same service costs 5.5 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· 35th of 51
$209
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.