How much rates vary
Facilitymedian $603 · 10th to 90th $275 to $1,950Professionalmedian $372 · 10th to 90th $257 to $851
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 $501.19 Typical High $1,949.84 | Facility | None | $275.42 | $501.19 | $1,949.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $125.89 | Facility | 26 · Professional part | $54.95 | $54.95 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $407.38 | Facility | TC · Technical part | $218.78 | $218.78 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $831.76 | Professional | None (both parts) | $275.42 | $338.84 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $234.42 | Professional | 26 · Professional part | $54.95 | $83.18 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $234.42 Typical High $575.44 | Professional | TC · Technical part | $218.78 | $234.42 | $575.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $346.74 Typical High $537.03 | Professional | None (both parts) | $251.19 | $346.74 | $537.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $154.88 | Professional | 26 · Professional part | $67.61 | $77.62 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $537.03 Typical High $891.25 | Facility | None | $263.03 | $537.03 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $851.14 | Professional | None (both parts) | $251.19 | $363.08 | $851.14 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $93.33 Typical High $186.21 | Professional | 26 · Professional part | $56.23 | $93.33 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $630.96 | Professional | TC · Technical part | $181.97 | $251.19 | $630.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $81.28 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $81.28 | $194.98 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $446.68 Typical High $602.56 | Facility | None | $269.15 | $446.68 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $575.44 Typical High $1,148.15 | Professional | None (both parts) | $295.12 | $575.44 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $131.83 Typical High $257.04 | Professional | 26 · Professional part | $85.11 | $131.83 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $407.38 Typical High $912.01 | Professional | TC · Technical part | $208.93 | $407.38 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $1,380.38 | Professional | None | $309.03 | $416.87 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $123.03 Typical High $346.74 | Professional | 26 · Professional part | $89.13 | $123.03 | $346.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $295.12 Typical High $1,380.38 | Professional | TC · Technical part | $218.78 | $295.12 | $1,380.38 |
Oscar Health Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $7,585.78 | Facility | None | $776.25 | $1,380.38 | $7,585.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $257.04 Typical High $501.19 | Professional | None (both parts) | $87.10 | $257.04 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $512.86 Typical High $954.99 | Professional | None (both parts) | $302.00 | $512.86 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $234.42 | Professional | 26 · Professional part | $83.18 | $112.20 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $389.05 Typical High $707.95 | Professional | TC · Technical part | $208.93 | $389.05 | $707.95 |
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 $138.04 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | 53 · Discontinued | $54.95 | $54.95 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $218.78 | $218.78 | $239.88 |
Where Georgia sits
The same service costs 7.6 times more in Vermont 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· 32nd of 51
$372
VT $1,288UT $170
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.