How much rates vary
Facilitymedian $832 · 10th to 90th $355 to $2,239Professionalmedian $617 · 10th to 90th $372 to $1,259
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 $426.58 Median $1,122.02 Typical High $2,818.38 | Facility | None | $426.58 | $1,122.02 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $426.58 Typical High $1,202.26 | Professional | None (both parts) | $416.87 | $426.58 | $1,202.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $257.04 | Professional | 26 · Professional part | $85.11 | $91.20 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $338.84 Typical High $933.25 | Professional | TC · Technical part | $309.03 | $338.84 | $933.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $79.43 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $831.76 Typical High $1,548.82 | Facility | None | $354.81 | $831.76 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $616.60 Typical High $1,202.26 | Professional | None (both parts) | $363.08 | $616.60 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $190.55 | Professional | 26 · Professional part | $69.18 | $95.50 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $501.19 Typical High $1,071.52 | Professional | TC · Technical part | $263.03 | $501.19 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $812.83 Typical High $812.83 | Facility | None | $316.23 | $812.83 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $776.25 Typical High $1,659.59 | Professional | None (both parts) | $426.58 | $776.25 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $131.83 Typical High $263.03 | Professional | 26 · Professional part | $87.10 | $131.83 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $575.44 Typical High $1,445.44 | Professional | TC · Technical part | $338.84 | $575.44 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $2,454.71 | Professional | None | $380.19 | $524.81 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $213.80 | Professional | 26 · Professional part | $91.20 | $125.89 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $398.11 Typical High $2,238.72 | Professional | TC · Technical part | $295.12 | $398.11 | $2,238.72 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $316.23 Typical High $616.60 | Professional | None (both parts) | $89.13 | $316.23 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $794.33 Typical High $1,202.26 | Professional | None (both parts) | $398.11 | $794.33 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $117.49 Typical High $223.87 | Professional | 26 · Professional part | $81.28 | $117.49 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $602.56 Typical High $1,071.52 | Professional | TC · Technical part | $302.00 | $602.56 | $1,071.52 |
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 $208.93 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $208.93 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $85.11 | $85.11 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $354.81 | Professional | FX · Film X-ray | $338.84 | $338.84 | $354.81 |
Where Georgia sits
The same service costs 5.6 times more in Wyoming 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· 21st of 51
$617
WY $1,380UT $245
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.