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 $147.91 Median $169.82 Typical High $169.82 | Facility | None | $147.91 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $147.91 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $37.15 | Professional | 26 · Professional part | $30.90 | $32.36 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $141.25 | Professional | TC · Technical part | $117.49 | $138.04 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $302.00 Typical High $501.19 | Facility | None | $181.97 | $302.00 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $158.49 | $234.42 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $35.48 | $47.86 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $125.89 | $186.21 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $323.59 Typical High $436.52 | Facility | None | $223.87 | $323.59 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $346.74 Typical High $501.19 | Professional | None (both parts) | $199.53 | $346.74 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $38.90 | $69.18 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $275.42 Typical High $407.38 | Professional | TC · Technical part | $158.49 | $275.42 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $512.86 | Professional | None | $204.17 | $323.59 | $512.86 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $51.29 | $208.93 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $177.83 | $263.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $36.31 | $54.95 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $218.78 Typical High $398.11 | Professional | TC · Technical part | $144.54 | $218.78 | $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 $74.13 Median $85.11 Typical High $89.13 | Professional | 52 · Reduced service | $74.13 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.88 Typical High $36.31 | Professional | 53 · Discontinued | $29.51 | $33.88 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $134.90 Typical High $144.54 | Professional | FX · Film X-ray | $117.49 | $134.90 | $144.54 |
Where Georgia sits
The same service costs 4.7 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· 31st of 51
$240
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.