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 $213.80 Median $245.47 Typical High $245.47 | Facility | None | $213.80 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $302.00 | Professional | None (both parts) | $218.78 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $67.61 | Professional | 26 · Professional part | $57.54 | $58.88 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $194.98 | Professional | TC · Technical part | $162.18 | $190.55 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $478.63 Typical High $691.83 | Facility | None | $263.03 | $478.63 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $691.83 | Professional | None (both parts) | $257.04 | $363.08 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $66.07 | $87.10 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $275.42 Typical High $524.81 | Professional | TC · Technical part | $194.98 | $275.42 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $436.52 Typical High $602.56 | Facility | None | $302.00 | $436.52 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $524.81 Typical High $831.76 | Professional | None (both parts) | $295.12 | $524.81 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $123.03 Typical High $181.97 | Professional | 26 · Professional part | $70.79 | $123.03 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $398.11 Typical High $630.96 | Professional | TC · Technical part | $223.87 | $398.11 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $1,071.52 | Professional | None | $295.12 | $478.63 | $1,071.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $95.50 | $281.84 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $416.87 Typical High $812.83 | Professional | None (both parts) | $295.12 | $416.87 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $177.83 | Professional | 26 · Professional part | $67.61 | $97.72 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $316.23 Typical High $616.60 | Professional | TC · Technical part | $223.87 | $316.23 | $616.60 |
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 $109.65 Median $123.03 Typical High $131.83 | Professional | 52 · Reduced service | $109.65 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $50.12 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $50.12 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $199.53 Typical High $208.93 | Professional | FX · Film X-ray | $173.78 | $199.53 | $208.93 |
Where Georgia sits
The same service costs 5.1 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
$363
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.