How much rates vary
Facilitymedian $661 · 10th to 90th $347 to $2,188Professionalmedian $501 · 10th to 90th $324 to $1,000
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 $1,288.25 Typical High $2,818.38 | Facility | None | $426.58 | $1,288.25 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $426.58 Typical High $1,122.02 | Professional | None (both parts) | $407.38 | $426.58 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $87.10 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $891.25 | Professional | TC · Technical part | $302.00 | $338.84 | $891.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $436.52 | Professional | None (both parts) | $302.00 | $302.00 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $97.72 | $114.82 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $616.60 Typical High $1,023.29 | Facility | None | $346.74 | $616.60 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $501.19 Typical High $933.25 | Professional | None (both parts) | $323.59 | $501.19 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $66.07 | $89.13 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $407.38 Typical High $776.25 | Professional | TC · Technical part | $251.19 | $407.38 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $831.76 | Facility | None | $316.23 | $645.65 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $676.08 Typical High $1,174.90 | Professional | None (both parts) | $407.38 | $676.08 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $112.20 Typical High $218.78 | Professional | 26 · Professional part | $70.79 | $112.20 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $524.81 Typical High $954.99 | Professional | TC · Technical part | $331.13 | $524.81 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $1,380.38 | Professional | None | $371.54 | $512.86 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $234.42 | Professional | 26 · Professional part | $74.13 | $100.00 | $234.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $407.38 Typical High $1,380.38 | Professional | TC · Technical part | $295.12 | $407.38 | $1,380.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $398.11 Typical High $501.19 | Professional | None (both parts) | $100.00 | $398.11 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $575.44 Typical High $1,174.90 | Professional | None (both parts) | $398.11 | $575.44 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $208.93 | Professional | 26 · Professional part | $66.07 | $95.50 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $478.63 Typical High $933.25 | Professional | TC · Technical part | $323.59 | $478.63 | $933.25 |
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 $173.78 Median $213.80 Typical High $234.42 | Professional | 52 · Reduced service | $173.78 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $85.11 Typical High $93.33 | Professional | 53 · Discontinued | $69.18 | $85.11 | $93.33 |
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 6.3 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· 26th of 51
$501
WY $1,349UT $214
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.