How much rates vary
Facilitymedian $724 · 10th to 90th $372 to $3,467Professionalmedian $525 · 10th to 90th $331 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 $912.01 Typical High $2,398.83 | Facility | None | $426.58 | $912.01 | $2,398.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $645.65 | Facility | TC · Technical part | $338.84 | $338.84 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $467.74 Typical High $1,174.90 | Professional | None (both parts) | $416.87 | $467.74 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $120.23 Typical High $295.12 | Professional | 26 · Professional part | $85.11 | $120.23 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $891.25 | Professional | TC · Technical part | $288.40 | $338.84 | $891.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $263.03 | $302.00 | $645.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $190.55 Typical High $194.98 | Professional | 26 · Professional part | $87.10 | $190.55 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $691.83 Typical High $1,698.24 | Facility | None | $338.84 | $691.83 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $524.81 Typical High $1,230.27 | Professional | None (both parts) | $338.84 | $524.81 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $114.82 Typical High $239.88 | Professional | 26 · Professional part | $91.20 | $114.82 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $389.05 Typical High $1,047.13 | Professional | TC · Technical part | $257.04 | $389.05 | $1,047.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $104.71 Median $234.42 Typical High $426.58 | Professional | None (both parts) | $104.71 | $234.42 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $724.44 Typical High $724.44 | Facility | None | $316.23 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $758.58 Typical High $1,548.82 | Professional | None (both parts) | $398.11 | $758.58 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $162.18 Typical High $323.59 | Professional | 26 · Professional part | $107.15 | $162.18 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $512.86 Typical High $1,258.93 | Professional | TC · Technical part | $288.40 | $512.86 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $2,570.40 | Professional | None | $371.54 | $512.86 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $154.88 Typical High $263.03 | Professional | 26 · Professional part | $112.20 | $154.88 | $263.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $354.81 Typical High $2,570.40 | Professional | TC · Technical part | $263.03 | $354.81 | $2,570.40 |
Oscar Health Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $6,025.60 | Facility | None | $5,248.07 | $5,248.07 | $6,025.60 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $109.65 | $316.23 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $794.33 Typical High $1,258.93 | Professional | None (both parts) | $398.11 | $794.33 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $316.23 | Professional | 26 · Professional part | $102.33 | $144.54 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $537.03 Typical High $1,023.29 | Professional | TC · Technical part | $281.84 | $537.03 | $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 $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 $83.18 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $83.18 | $85.11 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $331.13 | $338.84 | $338.84 |
Where Georgia sits
The same service costs 5.8 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· 29th of 51
$537
WY $1,349UT $234
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.