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 $104.71 Median $114.82 Typical High $114.82 | Facility | None | $104.71 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $128.82 | Professional | None (both parts) | $109.65 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $79.43 | Professional | 26 · Professional part | $66.07 | $69.18 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $50.12 | Professional | TC · Technical part | $42.66 | $46.77 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $147.91 Typical High $208.93 | Facility | None | $70.79 | $147.91 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $346.74 | Professional | None (both parts) | $123.03 | $165.96 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $199.53 | Professional | 26 · Professional part | $77.62 | $102.33 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $69.18 Typical High $151.36 | Professional | TC · Technical part | $50.12 | $69.18 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $114.82 Typical High $229.09 | Facility | None | $81.28 | $114.82 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $138.04 | $263.03 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $151.36 Typical High $229.09 | Professional | 26 · Professional part | $85.11 | $151.36 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $102.33 Typical High $162.18 | Professional | TC · Technical part | $52.48 | $102.33 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $575.44 | Professional | None | $144.54 | $234.42 | $575.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $138.04 Typical High $316.23 | Professional | 26 · Professional part | $85.11 | $138.04 | $316.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $95.50 Typical High $575.44 | Professional | TC · Technical part | $58.88 | $95.50 | $575.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $74.13 | $114.82 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $398.11 | Professional | None (both parts) | $138.04 | $199.53 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $120.23 Typical High $229.09 | Professional | 26 · Professional part | $85.11 | $120.23 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $53.70 | $93.33 | $162.18 |
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 $54.95 Median $57.54 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $22.91 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $93.33 Typical High $102.33 | Professional | FX · Film X-ray | $89.13 | $93.33 | $102.33 |
Where Georgia sits
The same service costs 5.6 times more in Alaska than in Texas. 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
$166
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.