How much rates vary
Facilitymedian $275 · 10th to 90th $166 to $1,479Professionalmedian $224 · 10th to 90th $129 to $447
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 $275.42 Median $478.63 Typical High $1,949.84 | Facility | None | $275.42 | $478.63 | $1,949.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $75.86 | Facility | 26 · Professional part | $54.95 | $54.95 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $218.78 Typical High $295.12 | Facility | TC · Technical part | $165.96 | $218.78 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $165.96 | $275.42 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $144.54 | Professional | 26 · Professional part | $51.29 | $60.26 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $218.78 Typical High $467.74 | Professional | TC · Technical part | $109.65 | $218.78 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $107.15 | $165.96 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $63.10 Typical High $89.13 | Professional | 26 · Professional part | $37.15 | $63.10 | $89.13 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $74.13 | $144.54 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $245.47 Typical High $446.68 | Facility | None | $131.83 | $245.47 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $218.78 Typical High $416.87 | Professional | None (both parts) | $128.82 | $218.78 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $61.66 | $109.65 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $208.93 Median $331.13 Typical High $616.60 | Professional | 50 · Both sides | $208.93 | $331.13 | $616.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $91.20 | $158.49 | $309.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $46.77 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $46.77 | $83.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $257.04 Typical High $331.13 | Facility | None | $186.21 | $257.04 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $181.97 | $275.42 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $151.36 | Professional | 26 · Professional part | $50.12 | $77.62 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $181.97 Typical High $380.19 | Professional | TC · Technical part | $120.23 | $181.97 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $676.08 | Professional | None | $144.54 | $199.53 | $676.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $158.49 | Professional | 26 · Professional part | $51.29 | $70.79 | $158.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $128.82 Typical High $602.56 | Professional | TC · Technical part | $93.33 | $128.82 | $602.56 |
Oscar Health Setting Facility Modifier None Typical Low $165.96 Median $537.03 Typical High $1,905.46 | Facility | None | $165.96 | $537.03 | $1,905.46 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $50.12 | $120.23 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $154.88 | $263.03 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $131.83 | Professional | 26 · Professional part | $50.12 | $69.18 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $186.21 Typical High $302.00 | Professional | TC · Technical part | $100.00 | $186.21 | $302.00 |
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 $83.18 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $83.18 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $33.11 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $181.97 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $173.78 | $218.78 | $218.78 |
Where Georgia sits
The same service costs 5.8 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· 22nd of 51
$229
VT $603UT $105
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.