How much rates vary
Facilitymedian $759 · 10th to 90th $398 to $1,995Professionalmedian $575 · 10th to 90th $407 to $1,349
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 $1,122.02 Typical High $2,818.38 | Facility | None | $426.58 | $1,122.02 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $1,258.93 | Professional | None (both parts) | $426.58 | $478.63 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $288.40 | Professional | 26 · Professional part | $85.11 | $117.49 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $1,023.29 | Professional | TC · Technical part | $338.84 | $338.84 | $1,023.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $177.83 Typical High $194.98 | Professional | 26 · Professional part | $134.90 | $177.83 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $676.08 Typical High $1,698.24 | Facility | None | $398.11 | $676.08 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $575.44 Typical High $1,318.26 | Professional | None (both parts) | $389.05 | $575.44 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $114.82 Typical High $223.87 | Professional | 26 · Professional part | $89.13 | $114.82 | $223.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $630.96 Median $870.96 Typical High $2,041.74 | Professional | 50 · Both sides | $630.96 | $870.96 | $2,041.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $446.68 Typical High $1,071.52 | Professional | TC · Technical part | $295.12 | $446.68 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $691.83 Typical High $891.25 | Facility | None | $316.23 | $691.83 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $812.83 Typical High $1,778.28 | Professional | None (both parts) | $467.74 | $812.83 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $154.88 Typical High $316.23 | Professional | 26 · Professional part | $104.71 | $154.88 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $602.56 Typical High $1,348.96 | Professional | TC · Technical part | $354.81 | $602.56 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $2,511.89 | Professional | None | $426.58 | $588.84 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $151.36 Typical High $251.19 | Professional | 26 · Professional part | $112.20 | $151.36 | $251.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $436.52 Typical High $2,511.89 | Professional | TC · Technical part | $316.23 | $436.52 | $2,511.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $109.65 | $363.08 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $831.76 Typical High $1,445.44 | Professional | None (both parts) | $457.09 | $831.76 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $141.25 Typical High $309.03 | Professional | 26 · Professional part | $97.72 | $141.25 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $630.96 Typical High $1,096.48 | Professional | TC · Technical part | $338.84 | $630.96 | $1,096.48 |
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 $213.80 Median $213.80 Typical High $288.40 | Professional | 52 · Reduced service | $213.80 | $213.80 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | 53 · Discontinued | $85.11 | $85.11 | $114.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $380.19 | Professional | FX · Film X-ray | $338.84 | $338.84 | $380.19 |
Where Georgia sits
The same service costs 6.0 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· 27th of 51
$589
WY $1,549UT $257
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.