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 $162.18 Median $190.55 Typical High $190.55 | Facility | None | $162.18 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $204.17 | Professional | None (both parts) | $169.82 | $190.55 | $204.17 |
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 $131.83 Median $151.36 Typical High $158.49 | Professional | TC · Technical part | $131.83 | $151.36 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $354.81 Typical High $562.34 | Facility | None | $204.17 | $354.81 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $199.53 | $281.84 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $40.74 | $54.95 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $158.49 | $218.78 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $354.81 Typical High $489.78 | Facility | None | $245.47 | $354.81 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $575.44 | Professional | None (both parts) | $229.09 | $389.05 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $81.28 Typical High $114.82 | Professional | 26 · Professional part | $44.67 | $81.28 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $316.23 Typical High $467.74 | Professional | TC · Technical part | $186.21 | $316.23 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $363.08 Typical High $676.08 | Professional | None | $229.09 | $363.08 | $676.08 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $60.26 | $234.42 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $229.09 | $309.03 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $41.69 | $61.66 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $467.74 | Professional | TC · Technical part | $181.97 | $251.19 | $467.74 |
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 $85.11 Median $95.50 Typical High $100.00 | Professional | 52 · Reduced service | $85.11 | $95.50 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $39.81 | Professional | 53 · Discontinued | $33.88 | $38.02 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $151.36 Typical High $162.18 | Professional | FX · Film X-ray | $131.83 | $151.36 | $162.18 |
Where Georgia sits
The same service costs 4.6 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· 30th of 51
$288
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.