How much rates vary
Facilitymedian $617 · 10th to 90th $331 to $1,862Professionalmedian $490 · 10th to 90th $316 to $1,047
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 $1,071.52 Typical High $2,818.38 | Facility | None | $426.58 | $1,071.52 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $446.68 Typical High $1,122.02 | Professional | None (both parts) | $380.19 | $446.68 | $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 $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 $257.04 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $257.04 | $398.11 | $602.56 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $123.03 | $144.54 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 50 · Both sides | $912.01 | $912.01 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $549.54 Typical High $1,000.00 | Facility | None | $316.23 | $549.54 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $467.74 Typical High $954.99 | Professional | None (both parts) | $316.23 | $467.74 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $67.61 | $100.00 | $173.78 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $691.83 Typical High $1,445.44 | Professional | 50 · Both sides | $512.86 | $691.83 | $1,445.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $363.08 Typical High $758.58 | Professional | TC · Technical part | $239.88 | $363.08 | $758.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $75.86 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $75.86 | $234.42 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $562.34 Typical High $741.31 | Facility | None | $316.23 | $562.34 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $660.69 Typical High $1,202.26 | Professional | None (both parts) | $371.54 | $660.69 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $125.89 Typical High $239.88 | Professional | 26 · Professional part | $77.62 | $125.89 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $501.19 Typical High $977.24 | Professional | TC · Technical part | $288.40 | $501.19 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $1,548.82 | Professional | None | $346.74 | $478.63 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $239.88 | Professional | 26 · Professional part | $83.18 | $114.82 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $363.08 Typical High $1,445.44 | Professional | TC · Technical part | $263.03 | $363.08 | $1,445.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $83.18 | $295.12 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $575.44 Typical High $1,071.52 | Professional | None (both parts) | $371.54 | $575.44 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $234.42 | Professional | 26 · Professional part | $74.13 | $107.15 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $489.78 Typical High $812.83 | Professional | TC · Technical part | $281.84 | $489.78 | $812.83 |
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 $190.55 Median $213.80 Typical High $245.47 | Professional | 52 · Reduced service | $190.55 | $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 5.4 times more in Wyoming than in Texas. 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
$501
WY $1,259TX $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.