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 $1,513.56 Median $6,165.95 Typical High $8,709.64 | Facility | None | $1,513.56 | $6,165.95 | $8,709.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,288.25 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $158.49 | $371.54 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $2,089.30 Typical High $3,890.45 | Facility | None | $501.19 | $2,089.30 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $1,412.54 Typical High $2,187.76 | Professional | None (both parts) | $467.74 | $1,412.54 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $87.10 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $1,412.54 Typical High $2,089.30 | Professional | TC · Technical part | $354.81 | $1,412.54 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $812.83 Typical High $1,047.13 | Facility | None | $269.15 | $812.83 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $549.54 Typical High $1,905.46 | Professional | None (both parts) | $346.74 | $549.54 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $134.90 Typical High $218.78 | Professional | 26 · Professional part | $70.79 | $134.90 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $398.11 Typical High $1,584.89 | Professional | TC · Technical part | $275.42 | $398.11 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $1,096.48 Typical High $5,011.87 | Professional | None | $489.78 | $1,096.48 | $5,011.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $1,949.84 Typical High $2,137.96 | Professional | None (both parts) | $102.33 | $1,949.84 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,737.80 Typical High $2,951.21 | Professional | None (both parts) | $1,148.15 | $1,737.80 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $97.72 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,621.81 Typical High $2,818.38 | Professional | TC · Technical part | $1,047.13 | $1,621.81 | $2,818.38 |
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 $645.65 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $645.65 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $257.04 | $302.00 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,047.13 Median $1,202.26 Typical High $1,202.26 | Professional | FX · Film X-ray | $1,047.13 | $1,202.26 | $1,202.26 |
Where Georgia sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 22nd of 51
$1,479
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.