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 $181.97 Median $208.93 Typical High $208.93 | Facility | None | $181.97 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $223.87 | Professional | None (both parts) | $181.97 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $67.61 | Professional | 26 · Professional part | $57.54 | $60.26 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $154.88 | Professional | TC · Technical part | $125.89 | $147.91 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $407.38 Typical High $537.03 | Facility | None | $208.93 | $407.38 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $630.96 | Professional | None (both parts) | $213.80 | $302.00 | $630.96 |
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 $147.91 Median $218.78 Typical High $457.09 | Professional | TC · Technical part | $147.91 | $218.78 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $338.84 Typical High $467.74 | Facility | None | $234.42 | $338.84 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $245.47 | $457.09 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $186.21 | Professional | 26 · Professional part | $72.44 | $128.82 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $309.03 Typical High $478.63 | Professional | TC · Technical part | $169.82 | $309.03 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $389.05 Typical High $1,047.13 | Professional | None | $245.47 | $389.05 | $1,047.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $93.33 | $218.78 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $371.54 Typical High $691.83 | Professional | None (both parts) | $245.47 | $371.54 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $67.61 | $100.00 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $288.40 Typical High $478.63 | Professional | TC · Technical part | $173.78 | $288.40 | $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 $91.20 Median $104.71 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $41.69 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $41.69 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $165.96 Typical High $177.83 | Professional | FX · Film X-ray | $144.54 | $165.96 | $177.83 |
Where Georgia sits
The same service costs 5.0 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
$324
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.