How much rates vary
Facilitymedian $603 · 10th to 90th $309 to $2,188Professionalmedian $468 · 10th to 90th $282 to $912
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 $1,318.26 Typical High $2,818.38 | Facility | None | $426.58 | $1,318.26 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $1,122.02 | Professional | None (both parts) | $331.13 | $426.58 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $251.19 | Professional | 26 · Professional part | $85.11 | $85.11 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $338.84 Typical High $891.25 | Professional | TC · Technical part | $239.88 | $338.84 | $891.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $575.44 Typical High $1,000.00 | Facility | None | $269.15 | $575.44 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $457.09 Typical High $870.96 | Professional | None (both parts) | $281.84 | $457.09 | $870.96 |
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 $426.58 Median $630.96 Typical High $1,318.26 | Professional | 50 · Both sides | $426.58 | $630.96 | $1,318.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $316.23 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $316.23 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $588.84 Typical High $588.84 | Facility | None | $316.23 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $562.34 Typical High $1,148.15 | Professional | None (both parts) | $309.03 | $562.34 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $117.49 Typical High $239.88 | Professional | 26 · Professional part | $77.62 | $117.49 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $407.38 Typical High $870.96 | Professional | TC · Technical part | $229.09 | $407.38 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $1,584.89 | Professional | None | $295.12 | $398.11 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $83.18 | $112.20 | $190.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $288.40 Typical High $1,445.44 | Professional | TC · Technical part | $208.93 | $288.40 | $1,445.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $81.28 | $251.19 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $562.34 Typical High $933.25 | Professional | None (both parts) | $309.03 | $562.34 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $229.09 | Professional | 26 · Professional part | $74.13 | $107.15 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $426.58 Typical High $707.95 | Professional | TC · Technical part | $223.87 | $426.58 | $707.95 |
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 $162.18 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $162.18 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $64.57 | $85.11 | $85.11 |
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 5.5 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· 25th of 51
$468
WY $1,047TX $191
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.