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 $1,513.56 Median $6,165.95 Typical High $8,709.64 | Facility | None | $1,513.56 | $6,165.95 | $8,709.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,513.56 Typical High $3,981.07 | Professional | None (both parts) | $1,445.44 | $1,513.56 | $3,981.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $371.54 Typical High $512.86 | Professional | 26 · Professional part | $151.36 | $371.54 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $2,137.96 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $2,137.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,778.28 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $3,235.94 | Facility | None | $630.96 | $2,137.96 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,621.81 Typical High $2,290.87 | Professional | None (both parts) | $562.34 | $1,621.81 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $109.65 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $1,513.56 Typical High $2,089.30 | Professional | TC · Technical part | $407.38 | $1,513.56 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $1,318.26 Typical High $1,318.26 | Facility | None | $316.23 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $691.83 Typical High $2,344.23 | Professional | None (both parts) | $436.52 | $691.83 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $147.91 Typical High $257.04 | Professional | 26 · Professional part | $91.20 | $147.91 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $524.81 Typical High $1,949.84 | Professional | TC · Technical part | $346.74 | $524.81 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $1,348.96 Typical High $3,311.31 | Professional | None | $602.56 | $1,348.96 | $3,311.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $2,187.76 Typical High $2,511.89 | Professional | None (both parts) | $114.82 | $2,187.76 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,819.70 Typical High $3,388.44 | Professional | None (both parts) | $1,122.02 | $1,819.70 | $3,388.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $120.23 Typical High $213.80 | Professional | 26 · Professional part | $85.11 | $120.23 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,659.59 Typical High $3,162.28 | Professional | TC · Technical part | $977.24 | $1,659.59 | $3,162.28 |
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 $645.65 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $645.65 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $257.04 | $302.00 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,047.13 Median $1,202.26 Typical High $1,202.26 | Professional | FX · Film X-ray | $1,047.13 | $1,202.26 | $1,202.26 |
Where Georgia sits
The same service costs 15.1 times more in Nebraska than in Washington. 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· 28th of 51
$1,514
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.