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 $33.11 Median $36.31 Typical High $36.31 | Facility | None | $33.11 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $36.31 Typical High $51.29 | Professional | None (both parts) | $34.67 | $36.31 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | 26 · Professional part | $19.95 | $19.95 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $16.22 Typical High $21.88 | Professional | TC · Technical part | $14.79 | $16.22 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $63.10 Typical High $302.00 | Facility | None | $26.92 | $63.10 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $61.66 Typical High $380.19 | Professional | None (both parts) | $39.81 | $61.66 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $22.39 | $29.51 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.12 Typical High $346.74 | Professional | TC · Technical part | $18.20 | $25.12 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $331.13 | Facility | None | $29.51 | $29.51 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $102.33 Typical High $234.42 | Professional | None (both parts) | $44.67 | $102.33 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $23.99 | $43.65 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $44.67 Typical High $162.18 | Professional | TC · Technical part | $19.95 | $44.67 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $75.86 Typical High $812.83 | Professional | None | $47.86 | $75.86 | $812.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $26.92 | $33.11 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $89.13 Typical High $281.84 | Professional | None (both parts) | $44.67 | $89.13 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $23.44 | $33.11 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $41.69 Typical High $257.04 | Professional | TC · Technical part | $19.50 | $41.69 | $257.04 |
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 $17.38 Median $18.20 Typical High $19.95 | Professional | 52 · Reduced service | $17.38 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.24 Typical High $7.94 | Professional | 53 · Discontinued | $6.92 | $7.24 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $29.51 Typical High $32.36 | Professional | FX · Film X-ray | $26.30 | $29.51 | $32.36 |
Where Georgia sits
The same service costs 7.2 times more in Alabama than in Florida. 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
$63.10
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.