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 $151.36 Median $151.36 Typical High $162.18 | Facility | None | $151.36 | $151.36 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $131.83 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.59 Typical High $19.95 | Professional | 26 · Professional part | $12.02 | $12.59 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $144.54 | Professional | TC · Technical part | $120.23 | $138.04 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $269.15 Typical High $512.86 | Facility | None | $128.82 | $269.15 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $100.00 | $181.97 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.62 Typical High $30.20 | Professional | 26 · Professional part | $13.18 | $18.62 | $30.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $165.96 Typical High $295.12 | Professional | TC · Technical part | $79.43 | $165.96 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $323.59 Typical High $446.68 | Facility | None | $218.78 | $323.59 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $151.36 | $251.19 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $26.30 Typical High $37.15 | Professional | 26 · Professional part | $14.45 | $26.30 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $134.90 | $234.42 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $407.38 | Professional | None | $173.78 | $213.80 | $407.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $213.80 Typical High $234.42 | Professional | None (both parts) | $19.95 | $213.80 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $102.33 | $218.78 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.95 Typical High $35.48 | Professional | 26 · Professional part | $13.80 | $19.95 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $199.53 Typical High $380.19 | Professional | TC · Technical part | $87.10 | $199.53 | $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 $66.07 Median $74.13 Typical High $77.62 | Professional | 52 · Reduced service | $66.07 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $26.30 | $30.20 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $120.23 Typical High $125.89 | Professional | FX · Film X-ray | $102.33 | $120.23 | $125.89 |
Where Georgia sits
The same service costs 4.3 times more in Alabama than in Indiana. 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· 39th of 51
$182
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.