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 $190.55 Median $218.78 Typical High $218.78 | Facility | None | $190.55 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $218.78 Typical High $245.47 | Professional | None (both parts) | $190.55 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $26.30 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $199.53 | Professional | TC · Technical part | $165.96 | $194.98 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $346.74 Typical High $707.95 | Facility | None | $194.98 | $346.74 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $162.18 | $245.47 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $41.69 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $380.19 | Professional | TC · Technical part | $138.04 | $213.80 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $446.68 Typical High $602.56 | Facility | None | $309.03 | $446.68 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $323.59 Typical High $630.96 | Professional | None (both parts) | $199.53 | $323.59 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $56.23 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $56.23 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $549.54 | Professional | TC · Technical part | $162.18 | $257.04 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $416.87 Typical High $616.60 | Professional | None | $257.04 | $416.87 | $616.60 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $288.40 Typical High $331.13 | Professional | None (both parts) | $44.67 | $288.40 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $295.12 Typical High $602.56 | Professional | None (both parts) | $173.78 | $295.12 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $42.66 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $257.04 Typical High $537.03 | Professional | TC · Technical part | $138.04 | $257.04 | $537.03 |
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 $95.50 Median $109.65 Typical High $114.82 | Professional | 52 · Reduced service | $95.50 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $43.65 Typical High $45.71 | Professional | 53 · Discontinued | $38.02 | $43.65 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $177.83 Typical High $186.21 | Professional | FX · Film X-ray | $151.36 | $177.83 | $186.21 |
Where Georgia sits
The same service costs 5.2 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· 39th of 51
$245
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.