How much rates vary
Facilitymedian $324 · 10th to 90th $200 to $1,175Professionalmedian $282 · 10th to 90th $174 to $501
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 $275.42 Median $741.31 Typical High $1,949.84 | Facility | None | $275.42 | $741.31 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $630.96 | Professional | None (both parts) | $194.98 | $275.42 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $169.82 | Professional | 26 · Professional part | $54.95 | $66.07 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $218.78 Typical High $478.63 | Professional | TC · Technical part | $123.03 | $218.78 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $144.54 Typical High $309.03 | Professional | None (both parts) | $131.83 | $144.54 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $79.43 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $309.03 Typical High $575.44 | Facility | None | $162.18 | $309.03 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $173.78 | $281.84 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $57.54 | $79.43 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $186.21 Typical High $331.13 | Professional | TC · Technical part | $109.65 | $186.21 | $331.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $100.00 Typical High $199.53 | Professional | None (both parts) | $60.26 | $100.00 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $309.03 Typical High $331.13 | Facility | None | $208.93 | $309.03 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $223.87 | $331.13 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $61.66 | $97.72 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $213.80 Typical High $457.09 | Professional | TC · Technical part | $151.36 | $213.80 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $676.08 | Professional | None | $177.83 | $239.88 | $676.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $186.21 | Professional | 26 · Professional part | $66.07 | $89.13 | $186.21 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $676.08 | Professional | TC · Technical part | $112.20 | $151.36 | $676.08 |
Oscar Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $691.83 | Facility | None | $199.53 | $199.53 | $691.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $147.91 Typical High $269.15 | Professional | None (both parts) | $64.57 | $147.91 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $199.53 | $309.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $61.66 | $85.11 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $229.09 Typical High $363.08 | Professional | TC · Technical part | $128.82 | $229.09 | $363.08 |
4 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 $89.13 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $89.13 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $35.48 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $218.78 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $208.93 | $218.78 | $218.78 |
Where Georgia sits
The same service costs 6.2 times more in Alaska than in Utah. 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· 19th of 51
$282
AK $646UT $105
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.