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 $147.91 Median $151.36 Typical High $162.18 | Facility | None | $147.91 | $151.36 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $436.52 | Professional | None (both parts) | $131.83 | $158.49 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $134.90 | Professional | 26 · Professional part | $45.71 | $53.70 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $295.12 | Professional | TC · Technical part | $87.10 | $104.71 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $47.86 | $79.43 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $263.03 Typical High $407.38 | Facility | None | $144.54 | $263.03 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $169.82 | $223.87 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $72.44 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $147.91 Typical High $288.40 | Professional | TC · Technical part | $114.82 | $147.91 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $363.08 | Facility | None | $181.97 | $263.03 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $181.97 | $309.03 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $57.54 | $104.71 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $199.53 Typical High $354.81 | Professional | TC · Technical part | $120.23 | $199.53 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $645.65 | Professional | None | $194.98 | $309.03 | $645.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $81.28 | $177.83 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $245.47 Typical High $467.74 | Professional | None (both parts) | $181.97 | $245.47 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $77.62 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $354.81 | Professional | TC · Technical part | $123.03 | $165.96 | $354.81 |
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 $70.79 Median $75.86 Typical High $81.28 | Professional | 52 · Reduced service | $70.79 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.20 Typical High $32.36 | Professional | 53 · Discontinued | $28.18 | $30.20 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $120.23 Typical High $128.82 | Professional | FX · Film X-ray | $107.15 | $120.23 | $128.82 |
Where Georgia sits
The same service costs 4.4 times more in Alaska 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· 30th of 51
$224
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.