How much rates vary
Facilitymedian $479 · 10th to 90th $275 to $1,175Professionalmedian $389 · 10th to 90th $257 to $832
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 $467.74 Typical High $1,949.84 | Facility | None | $275.42 | $467.74 | $1,949.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $134.90 | Facility | 26 · Professional part | $54.95 | $54.95 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $338.84 | Facility | TC · Technical part | $218.78 | $218.78 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $831.76 | Professional | None (both parts) | $275.42 | $346.74 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $87.10 Typical High $245.47 | Professional | 26 · Professional part | $54.95 | $87.10 | $245.47 |
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 $229.09 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $229.09 | $257.04 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $120.23 Typical High $162.18 | Professional | 26 · Professional part | $70.79 | $120.23 | $162.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $338.84 | Professional | TC · Technical part | $120.23 | $169.82 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $478.63 Typical High $851.14 | Facility | None | $263.03 | $478.63 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $812.83 | Professional | None (both parts) | $251.19 | $363.08 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $190.55 | Professional | 26 · Professional part | $75.86 | $95.50 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $257.04 Typical High $616.60 | Professional | TC · Technical part | $186.21 | $257.04 | $616.60 |
CareSource Setting Professional Modifier None (both parts) Typical Low $85.11 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $85.11 | $194.98 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $457.09 Typical High $602.56 | Facility | None | $269.15 | $457.09 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $575.44 Typical High $1,047.13 | Professional | None (both parts) | $302.00 | $575.44 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $141.25 Typical High $281.84 | Professional | 26 · Professional part | $89.13 | $141.25 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $407.38 Typical High $812.83 | Professional | TC · Technical part | $208.93 | $407.38 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $1,380.38 | Professional | None | $316.23 | $426.58 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $389.05 | Professional | 26 · Professional part | $93.33 | $123.03 | $389.05 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $1,380.38 | Professional | TC · Technical part | $218.78 | $302.00 | $1,380.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $269.15 Typical High $478.63 | Professional | None (both parts) | $93.33 | $269.15 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $537.03 Typical High $912.01 | Professional | None (both parts) | $309.03 | $537.03 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $239.88 | Professional | 26 · Professional part | $87.10 | $123.03 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $389.05 Typical High $724.44 | Professional | TC · Technical part | $213.80 | $389.05 | $724.44 |
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 12.3 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· 27th of 51
$398
VT $2,089UT $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.