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 $194.98 Median $194.98 Typical High $208.93 | Facility | None | $194.98 | $194.98 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $512.86 | Professional | None (both parts) | $165.96 | $194.98 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $109.65 | Professional | 26 · Professional part | $36.31 | $40.74 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $407.38 | Professional | TC · Technical part | $131.83 | $154.88 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $165.96 | $263.03 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $363.08 Typical High $575.44 | Facility | None | $208.93 | $363.08 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $204.17 | $288.40 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $43.65 | $58.88 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $158.49 | $229.09 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $363.08 Typical High $489.78 | Facility | None | $245.47 | $363.08 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $234.42 | $398.11 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $47.86 | $85.11 | $123.03 |
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 $234.42 Median $371.54 Typical High $724.44 | Professional | None | $234.42 | $371.54 | $724.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $63.10 | $234.42 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $588.84 | Professional | None (both parts) | $234.42 | $316.23 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $44.67 | $64.57 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $186.21 | $257.04 | $478.63 |
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 $87.10 Median $97.72 Typical High $104.71 | Professional | 52 · Reduced service | $87.10 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $41.69 | Professional | 53 · Discontinued | $34.67 | $38.90 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $154.88 Typical High $165.96 | Professional | FX · Film X-ray | $134.90 | $154.88 | $165.96 |
Where Georgia sits
The same service costs 3.5 times more in Wisconsin 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· 29th 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.