How much rates vary
Facilitymedian $427 · 10th to 90th $245 to $2,089Professionalmedian $363 · 10th to 90th $191 to $759
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 $660.69 Typical High $2,398.83 | Facility | None | $426.58 | $660.69 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $114.82 | Facility | 26 · Professional part | $85.11 | $85.11 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $478.63 | Facility | TC · Technical part | $229.09 | $338.84 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $426.58 Typical High $1,122.02 | Professional | None (both parts) | $251.19 | $426.58 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $97.72 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $338.84 Typical High $891.25 | Professional | TC · Technical part | $162.18 | $338.84 | $891.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $371.54 | Professional | None (both parts) | $131.83 | $173.78 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $93.33 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $93.33 | $131.83 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $95.50 | $151.36 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $407.38 Typical High $933.25 | Facility | None | $181.97 | $407.38 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $316.23 Typical High $724.44 | Professional | None (both parts) | $194.98 | $316.23 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $91.20 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $588.84 | Professional | TC · Technical part | $125.89 | $181.97 | $588.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $69.18 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $69.18 | $123.03 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $380.19 Typical High $380.19 | Facility | None | $269.15 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $446.68 Typical High $933.25 | Professional | None (both parts) | $223.87 | $446.68 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $114.82 Typical High $223.87 | Professional | 26 · Professional part | $72.44 | $114.82 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $275.42 Typical High $707.95 | Professional | TC · Technical part | $147.91 | $275.42 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $1,380.38 | Professional | None | $213.80 | $295.12 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $213.80 | Professional | 26 · Professional part | $75.86 | $104.71 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $1,348.96 | Professional | TC · Technical part | $138.04 | $186.21 | $1,348.96 |
Oscar Health Setting Facility Modifier None Typical Low $245.47 Median $794.33 Typical High $2,884.03 | Facility | None | $245.47 | $794.33 | $2,884.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $177.83 Typical High $323.59 | Professional | None (both parts) | $75.86 | $177.83 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $446.68 Typical High $724.44 | Professional | None (both parts) | $218.78 | $446.68 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $213.80 | Professional | 26 · Professional part | $67.61 | $97.72 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $281.84 Typical High $575.44 | Professional | TC · Technical part | $144.54 | $281.84 | $575.44 |
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 $123.03 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $123.03 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $48.98 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $251.19 | $338.84 | $338.84 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $151.36 Median $151.36 Typical High $186.21 | Professional | 59 · Distinct service | $151.36 | $151.36 | $186.21 |
Where Georgia sits
The same service costs 24.0 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
$363
VT $2,951UT $123
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.