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 $269.15 Median $269.15 Typical High $524.81 | Facility | None | $269.15 | $269.15 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $707.95 | Professional | None (both parts) | $234.42 | $269.15 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $97.72 | Professional | 26 · Professional part | $31.62 | $33.11 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $234.42 Typical High $616.60 | Professional | TC · Technical part | $199.53 | $234.42 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $457.09 Typical High $851.14 | Facility | None | $316.23 | $457.09 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $229.09 | $380.19 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $51.29 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $316.23 Typical High $478.63 | Professional | TC · Technical part | $208.93 | $316.23 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $537.03 Typical High $724.44 | Facility | None | $331.13 | $537.03 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $501.19 Typical High $758.58 | Professional | None (both parts) | $295.12 | $501.19 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $39.81 | $69.18 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $436.52 Typical High $660.69 | Professional | TC · Technical part | $239.88 | $436.52 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $478.63 Typical High $724.44 | Professional | None | $302.00 | $478.63 | $724.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $53.70 | $346.74 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $398.11 Typical High $741.31 | Professional | None (both parts) | $269.15 | $398.11 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $38.90 | $54.95 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $645.65 | Professional | TC · Technical part | $239.88 | $346.74 | $645.65 |
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 $117.49 Median $134.90 Typical High $141.25 | Professional | 52 · Reduced service | $117.49 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $53.70 Typical High $56.23 | Professional | 53 · Discontinued | $46.77 | $53.70 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $213.80 Typical High $223.87 | Professional | FX · Film X-ray | $186.21 | $213.80 | $223.87 |
Where Georgia sits
The same service costs 3.7 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· 30th of 51
$389
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.