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 $223.87 Median $288.40 Typical High $288.40 | Facility | None | $223.87 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $302.00 | Professional | None (both parts) | $245.47 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $28.84 | Professional | 26 · Professional part | $24.55 | $25.12 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $263.03 Typical High $275.42 | Professional | TC · Technical part | $223.87 | $263.03 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $489.78 Typical High $977.24 | Facility | None | $234.42 | $489.78 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $346.74 Typical High $616.60 | Professional | None (both parts) | $162.18 | $346.74 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $27.54 | $38.02 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $316.23 Typical High $549.54 | Professional | TC · Technical part | $125.89 | $316.23 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $616.60 Typical High $831.76 | Facility | None | $331.13 | $616.60 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $457.09 Typical High $851.14 | Professional | None (both parts) | $251.19 | $457.09 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $50.12 Typical High $79.43 | Professional | 26 · Professional part | $29.51 | $50.12 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $436.52 Typical High $758.58 | Professional | TC · Technical part | $213.80 | $436.52 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $776.25 | Professional | None | $316.23 | $363.08 | $776.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $398.11 Typical High $446.68 | Professional | None (both parts) | $41.69 | $398.11 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $416.87 Typical High $794.33 | Professional | None (both parts) | $181.97 | $416.87 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $74.13 | Professional | 26 · Professional part | $28.84 | $40.74 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $380.19 Typical High $724.44 | Professional | TC · Technical part | $151.36 | $380.19 | $724.44 |
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 $123.03 Median $144.54 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $144.54 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $57.54 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $57.54 | $60.26 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $234.42 Typical High $245.47 | Professional | FX · Film X-ray | $194.98 | $234.42 | $245.47 |
Where Georgia sits
The same service costs 4.9 times more in Alaska 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· 34th of 51
$347
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.