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 $162.18 Median $190.55 Typical High $190.55 | Facility | None | $162.18 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $199.53 | Professional | None (both parts) | $165.96 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $26.30 | Professional | 26 · Professional part | $21.88 | $22.91 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $173.78 | Professional | TC · Technical part | $141.25 | $165.96 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $331.13 Typical High $602.56 | Facility | None | $165.96 | $331.13 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $141.25 | $234.42 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $33.88 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $104.71 | $204.17 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $407.38 Typical High $549.54 | Facility | None | $295.12 | $407.38 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $302.00 Typical High $575.44 | Professional | None (both parts) | $186.21 | $302.00 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $26.92 | $50.12 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $295.12 Typical High $501.19 | Professional | TC · Technical part | $165.96 | $295.12 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $575.44 | Professional | None | $245.47 | $309.03 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $141.25 | $275.42 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $26.30 | $37.15 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $239.88 Typical High $501.19 | Professional | TC · Technical part | $112.20 | $239.88 | $501.19 |
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 $83.18 Median $95.50 Typical High $100.00 | Professional | 52 · Reduced service | $83.18 | $95.50 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.02 Typical High $39.81 | Professional | 53 · Discontinued | $33.11 | $38.02 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $151.36 Typical High $158.49 | Professional | FX · Film X-ray | $131.83 | $151.36 | $158.49 |
Where Georgia sits
The same service costs 4.8 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· 39th of 51
$234
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.