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 $158.49 Median $181.97 Typical High $181.97 | Facility | None | $158.49 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $162.18 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $33.88 | Professional | 26 · Professional part | $28.84 | $29.51 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $151.36 Typical High $158.49 | Professional | TC · Technical part | $131.83 | $151.36 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $302.00 Typical High $562.34 | Facility | None | $190.55 | $302.00 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $389.05 | Professional | None (both parts) | $151.36 | $223.87 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $43.65 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $323.59 | Professional | TC · Technical part | $123.03 | $181.97 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $354.81 Typical High $489.78 | Facility | None | $239.88 | $354.81 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $323.59 Typical High $537.03 | Professional | None (both parts) | $190.55 | $323.59 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $33.88 | $61.66 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $263.03 Typical High $446.68 | Professional | TC · Technical part | $154.88 | $263.03 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $501.19 | Professional | None | $213.80 | $338.84 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $173.78 | $269.15 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $33.11 | $46.77 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $138.04 | $223.87 | $416.87 |
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 $81.28 Median $91.20 Typical High $95.50 | Professional | 52 · Reduced service | $81.28 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $36.31 Typical High $38.02 | Professional | 53 · Discontinued | $32.36 | $36.31 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $144.54 Typical High $154.88 | Professional | FX · Film X-ray | $125.89 | $144.54 | $154.88 |
Where Georgia sits
The same service costs 4.6 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· 34th of 51
$240
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.