How much rates vary
Facilitymedian $676 · 10th to 90th $389 to $2,239Professionalmedian $501 · 10th to 90th $316 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 $741.31 Typical High $2,398.83 | Facility | None | $426.58 | $741.31 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $169.82 | Facility | 26 · Professional part | $85.11 | $85.11 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $588.84 | Facility | TC · Technical part | $338.84 | $338.84 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $478.63 Typical High $1,122.02 | Professional | None (both parts) | $389.05 | $478.63 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $309.03 | Professional | 26 · Professional part | $85.11 | $125.89 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $891.25 | Professional | TC · Technical part | $263.03 | $338.84 | $891.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $263.03 Median $288.40 Typical High $616.60 | Professional | None (both parts) | $263.03 | $288.40 | $616.60 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $141.25 Typical High $204.17 | Professional | 26 · Professional part | $89.13 | $141.25 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $616.60 Typical High $1,737.80 | Facility | None | $309.03 | $616.60 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $478.63 Typical High $1,202.26 | Professional | None (both parts) | $338.84 | $478.63 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $251.19 | Professional | 26 · Professional part | $102.33 | $123.03 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $1,023.29 | Professional | TC · Technical part | $213.80 | $323.59 | $1,023.29 |
CareSource Setting Professional Modifier None (both parts) Typical Low $107.15 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $107.15 | $213.80 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $501.19 Typical High $660.69 | Facility | None | $316.23 | $501.19 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $707.95 Typical High $1,548.82 | Professional | None (both parts) | $371.54 | $707.95 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $177.83 Typical High $363.08 | Professional | 26 · Professional part | $112.20 | $177.83 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $457.09 Typical High $1,258.93 | Professional | TC · Technical part | $257.04 | $457.09 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $2,630.27 | Professional | None | $354.81 | $478.63 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $158.49 Typical High $489.78 | Professional | 26 · Professional part | $117.49 | $158.49 | $489.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $323.59 Typical High $2,630.27 | Professional | TC · Technical part | $234.42 | $323.59 | $2,630.27 |
Oscar Health Setting Facility Modifier None Typical Low $831.76 Median $1,348.96 Typical High $5,754.40 | Facility | None | $831.76 | $1,348.96 | $5,754.40 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $302.00 Typical High $537.03 | Professional | None (both parts) | $117.49 | $302.00 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $741.31 Typical High $1,318.26 | Professional | None (both parts) | $371.54 | $741.31 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $151.36 Typical High $331.13 | Professional | 26 · Professional part | $107.15 | $151.36 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $489.78 Typical High $1,023.29 | Professional | TC · Technical part | $251.19 | $489.78 | $1,023.29 |
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 $194.98 Median $213.80 Typical High $245.47 | Professional | 52 · Reduced service | $194.98 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $85.11 Typical High $97.72 | Professional | 53 · Discontinued | $77.62 | $85.11 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $323.59 | $338.84 | $338.84 |
Where Georgia sits
The same service costs 6.6 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· 28th of 51
$513
VT $1,349UT $204
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.