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 $158.49 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $158.49 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $37.15 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $138.04 Typical High $144.54 | Professional | TC · Technical part | $123.03 | $138.04 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $302.00 Typical High $524.81 | Facility | None | $177.83 | $302.00 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $173.78 | $234.42 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $54.95 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $295.12 | Professional | TC · Technical part | $138.04 | $186.21 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $446.68 | Facility | None | $218.78 | $331.13 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $354.81 Typical High $524.81 | Professional | None (both parts) | $190.55 | $354.81 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $79.43 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $144.54 | $263.03 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $331.13 Typical High $549.54 | Professional | None | $208.93 | $331.13 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $190.55 | $263.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $41.69 | $58.88 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $380.19 | Professional | TC · Technical part | $147.91 | $204.17 | $380.19 |
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 $79.43 Median $89.13 Typical High $93.33 | Professional | 52 · Reduced service | $79.43 | $89.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $35.48 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $35.48 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $141.25 Typical High $151.36 | Professional | FX · Film X-ray | $123.03 | $141.25 | $151.36 |
Where Georgia sits
The same service costs 5.0 times more in Alaska than in Texas. 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· 32nd of 51
$245
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.