How much rates vary
Facilitymedian $275 · 10th to 90th $162 to $1,950Professionalmedian $219 · 10th to 90th $126 to $417
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 $223.87 Median $316.23 Typical High $1,949.84 | Facility | None | $223.87 | $316.23 | $1,949.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $69.18 | Facility | 26 · Professional part | $53.70 | $54.95 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $218.78 Typical High $295.12 | Facility | TC · Technical part | $134.90 | $218.78 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $588.84 | Professional | None (both parts) | $169.82 | $275.42 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $131.83 | Professional | 26 · Professional part | $52.48 | $57.54 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $218.78 Typical High $426.58 | Professional | TC · Technical part | $112.20 | $218.78 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $251.19 | Professional | None (both parts) | $102.33 | $117.49 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $33.88 | $53.70 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $446.68 | Facility | None | $120.23 | $257.04 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $407.38 | Professional | None (both parts) | $125.89 | $194.98 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $114.82 | Professional | 26 · Professional part | $40.74 | $52.48 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $309.03 | Professional | TC · Technical part | $89.13 | $125.89 | $309.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $40.74 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $40.74 | $87.10 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $275.42 Typical High $331.13 | Facility | None | $186.21 | $275.42 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $141.25 | $269.15 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $43.65 | $75.86 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $186.21 Typical High $389.05 | Professional | TC · Technical part | $95.50 | $186.21 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $660.69 | Professional | None | $144.54 | $194.98 | $660.69 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $60.26 Typical High $165.96 | Professional | 26 · Professional part | $44.67 | $60.26 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $134.90 Typical High $588.84 | Professional | TC · Technical part | $100.00 | $134.90 | $588.84 |
Oscar Health Setting Facility Modifier None Typical Low $1,318.26 Median $2,187.76 Typical High $6,309.57 | Facility | None | $1,318.26 | $2,187.76 | $6,309.57 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $43.65 | $120.23 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $141.25 | $245.47 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $66.07 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $97.72 | $177.83 | $323.59 |
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 $81.28 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $81.28 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $32.36 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $186.21 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $186.21 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $173.78 | $218.78 | $218.78 |
Where Georgia sits
The same service costs 4.9 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· 24th of 51
$219
AK $513UT $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.