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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $97.72 Typical High $107.15 | Professional | None (both parts) | $85.11 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.14 Typical High $18.20 | Professional | 26 · Professional part | $14.79 | $15.14 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $89.13 | Professional | TC · Technical part | $69.18 | $81.28 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $158.49 Typical High $323.59 | Facility | None | $102.33 | $158.49 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $77.62 | $120.23 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.39 Typical High $37.15 | Professional | 26 · Professional part | $16.60 | $22.39 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $63.10 | $97.72 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $269.15 | Facility | None | $125.89 | $177.83 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $97.72 | $169.82 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $32.36 Typical High $45.71 | Professional | 26 · Professional part | $17.78 | $32.36 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $141.25 Typical High $218.78 | Professional | TC · Technical part | $75.86 | $141.25 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $263.03 | Professional | None | $112.20 | $177.83 | $263.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $117.49 Typical High $141.25 | Professional | None (both parts) | $24.55 | $117.49 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $93.33 | $134.90 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.99 Typical High $43.65 | Professional | 26 · Professional part | $17.38 | $23.99 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $112.20 Typical High $213.80 | Professional | TC · Technical part | $74.13 | $112.20 | $213.80 |
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 $42.66 Median $47.86 Typical High $51.29 | Professional | 52 · Reduced service | $42.66 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.50 Typical High $20.42 | Professional | 53 · Discontinued | $16.98 | $19.50 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $77.62 Typical High $81.28 | Professional | FX · Film X-ray | $66.07 | $77.62 | $81.28 |
Where Georgia sits
The same service costs 5.5 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· 31st of 51
$126
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.