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 $56.23 Median $66.07 Typical High $66.07 | Facility | None | $56.23 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $69.18 | Professional | None (both parts) | $56.23 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.46 Typical High $7.24 | Professional | 26 · Professional part | $6.03 | $6.46 | $7.24 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $61.66 | Professional | TC · Technical part | $50.12 | $60.26 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $112.20 Typical High $208.93 | Facility | None | $67.61 | $112.20 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $66.07 | $97.72 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.00 Typical High $25.70 | Professional | 26 · Professional part | $7.24 | $10.00 | $25.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $117.49 | Professional | TC · Technical part | $53.70 | $75.86 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $134.90 Typical High $181.97 | Facility | None | $100.00 | $134.90 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $128.82 Typical High $186.21 | Professional | None (both parts) | $67.61 | $128.82 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $8.32 | $14.45 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $58.88 | $112.20 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $208.93 | Professional | None | $81.28 | $128.82 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $181.97 | Professional | None (both parts) | $70.79 | $95.50 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $20.42 | Professional | 26 · Professional part | $7.94 | $11.48 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $165.96 | Professional | TC · Technical part | $60.26 | $85.11 | $165.96 |
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 $28.18 Median $33.11 Typical High $34.67 | Professional | 52 · Reduced service | $28.18 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $13.18 Typical High $13.80 | Professional | 53 · Discontinued | $11.22 | $13.18 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $52.48 Typical High $54.95 | Professional | FX · Film X-ray | $44.67 | $52.48 | $54.95 |
Where Georgia sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 27th of 51
$97.72
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.