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 $134.90 Median $158.49 Typical High $158.49 | Facility | None | $134.90 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $165.96 | Professional | None (both parts) | $138.04 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.20 Typical High $20.89 | Professional | 26 · Professional part | $17.38 | $18.20 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $144.54 | Professional | TC · Technical part | $120.23 | $141.25 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $269.15 Typical High $512.86 | Facility | None | $181.97 | $269.15 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $131.83 | $199.53 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $27.54 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $295.12 | Professional | TC · Technical part | $114.82 | $165.96 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $323.59 Typical High $446.68 | Facility | None | $223.87 | $323.59 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $165.96 | $275.42 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $21.38 | $38.02 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $239.88 Typical High $407.38 | Professional | TC · Technical part | $138.04 | $239.88 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $436.52 | Professional | None | $186.21 | $295.12 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $213.80 Typical High $245.47 | Professional | None (both parts) | $30.20 | $213.80 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $234.42 Typical High $436.52 | Professional | None (both parts) | $151.36 | $234.42 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $28.84 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $204.17 Typical High $380.19 | Professional | TC · Technical part | $138.04 | $204.17 | $380.19 |
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 $69.18 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $69.18 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $31.62 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $31.62 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $125.89 Typical High $131.83 | Professional | FX · Film X-ray | $109.65 | $125.89 | $131.83 |
Where Georgia sits
The same service costs 4.7 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· 34th of 51
$209
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.