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 $489.78 Median $562.34 Typical High $562.34 | Facility | None | $489.78 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $562.34 Typical High $588.84 | Professional | None (both parts) | $489.78 | $562.34 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $39.81 | $41.69 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $524.81 Typical High $549.54 | Professional | TC · Technical part | $446.68 | $524.81 | $549.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | 26 · Professional part | $41.69 | $41.69 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $933.25 Typical High $1,905.46 | Facility | None | $588.84 | $933.25 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $660.69 Typical High $1,148.15 | Professional | None (both parts) | $416.87 | $660.69 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $44.67 | $64.57 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $602.56 Typical High $1,047.13 | Professional | TC · Technical part | $309.03 | $602.56 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,174.90 Typical High $1,621.81 | Facility | None | $645.65 | $1,174.90 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $954.99 Typical High $1,584.89 | Professional | None (both parts) | $524.81 | $954.99 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $87.10 Typical High $125.89 | Professional | 26 · Professional part | $50.12 | $87.10 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $851.14 Typical High $1,479.11 | Professional | TC · Technical part | $478.63 | $851.14 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,479.11 | Professional | None | $630.96 | $1,000.00 | $1,479.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $758.58 Typical High $831.76 | Professional | None (both parts) | $67.61 | $758.58 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $794.33 Typical High $1,548.82 | Professional | None (both parts) | $512.86 | $794.33 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $69.18 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $741.31 Typical High $1,445.44 | Professional | TC · Technical part | $446.68 | $741.31 | $1,445.44 |
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 $239.88 Median $281.84 Typical High $295.12 | Professional | 52 · Reduced service | $239.88 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $114.82 Typical High $117.49 | Professional | 53 · Discontinued | $97.72 | $114.82 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $389.05 Median $457.09 Typical High $478.63 | Professional | FX · Film X-ray | $389.05 | $457.09 | $478.63 |
Where Georgia sits
The same service costs 4.4 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· 35th of 51
$661
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.