How much rates vary
Facilitymedian $575 · 10th to 90th $275 to $1,413Professionalmedian $398 · 10th to 90th $275 to $891
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 $741.31 Typical High $1,949.84 | Facility | None | $275.42 | $741.31 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $302.00 Typical High $831.76 | Professional | None (both parts) | $275.42 | $302.00 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $251.19 | Professional | 26 · Professional part | $54.95 | $83.18 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $602.56 | Professional | TC · Technical part | $218.78 | $218.78 | $602.56 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $147.91 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $147.91 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $524.81 Typical High $812.83 | Facility | None | $309.03 | $524.81 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $398.11 Typical High $776.25 | Professional | None (both parts) | $269.15 | $398.11 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $74.13 | $100.00 | $186.21 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $416.87 Median $602.56 Typical High $1,230.27 | Professional | 50 · Both sides | $416.87 | $602.56 | $1,230.27 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $316.23 Typical High $630.96 | Professional | TC · Technical part | $190.55 | $316.23 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $537.03 Typical High $724.44 | Facility | None | $269.15 | $537.03 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $616.60 Typical High $1,122.02 | Professional | None (both parts) | $354.81 | $616.60 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $144.54 Typical High $281.84 | Professional | 26 · Professional part | $91.20 | $144.54 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $446.68 Typical High $851.14 | Professional | TC · Technical part | $263.03 | $446.68 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $1,348.96 | Professional | None | $363.08 | $489.78 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $380.19 | Professional | 26 · Professional part | $97.72 | $128.82 | $380.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $354.81 Typical High $1,258.93 | Professional | TC · Technical part | $263.03 | $354.81 | $1,258.93 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $302.00 Typical High $588.84 | Professional | None (both parts) | $95.50 | $302.00 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $562.34 Typical High $933.25 | Professional | None (both parts) | $363.08 | $562.34 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $123.03 Typical High $251.19 | Professional | 26 · Professional part | $89.13 | $123.03 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $426.58 Typical High $724.44 | Professional | TC · Technical part | $263.03 | $426.58 | $724.44 |
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 $138.04 Median $138.04 Typical High $165.96 | Professional | 52 · Reduced service | $138.04 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $54.95 | $54.95 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $218.78 | $218.78 | $239.88 |
Where Georgia sits
The same service costs 6.2 times more in Alaska 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· 33rd of 51
$398
AK $1,047UT $170
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.