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 $131.83 Median $151.36 Typical High $151.36 | Facility | None | $131.83 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $162.18 | Professional | None (both parts) | $134.90 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $39.81 Typical High $45.71 | Professional | 26 · Professional part | $38.90 | $39.81 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $117.49 | Professional | TC · Technical part | $97.72 | $112.20 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $295.12 Typical High $416.87 | Facility | None | $158.49 | $295.12 | $416.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $436.52 | Professional | None (both parts) | $158.49 | $218.78 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $58.88 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $331.13 | Professional | TC · Technical part | $114.82 | $162.18 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $363.08 | Facility | None | $181.97 | $263.03 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $323.59 Typical High $512.86 | Professional | None (both parts) | $181.97 | $323.59 | $512.86 |
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 $131.83 Median $234.42 Typical High $371.54 | Professional | TC · Technical part | $131.83 | $234.42 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $691.83 | Professional | None | $181.97 | $288.40 | $691.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $63.10 | $169.82 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $501.19 | Professional | None (both parts) | $181.97 | $257.04 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $45.71 | $67.61 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $199.53 Typical High $371.54 | Professional | TC · Technical part | $131.83 | $199.53 | $371.54 |
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 $67.61 Median $75.86 Typical High $81.28 | Professional | 52 · Reduced service | $67.61 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.20 Typical High $32.36 | Professional | 53 · Discontinued | $26.92 | $30.20 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $123.03 Typical High $128.82 | Professional | FX · Film X-ray | $107.15 | $123.03 | $128.82 |
Where Georgia sits
The same service costs 4.8 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· 35th of 51
$224
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.