How much rates vary
Facilitymedian $427 · 10th to 90th $257 to $1,862Professionalmedian $380 · 10th to 90th $200 to $724
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 $407.38 Median $575.44 Typical High $2,398.83 | Facility | None | $407.38 | $575.44 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $107.15 | Facility | 26 · Professional part | $83.18 | $85.11 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $338.84 Typical High $478.63 | Facility | TC · Technical part | $257.04 | $338.84 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $426.58 Typical High $1,000.00 | Professional | None (both parts) | $269.15 | $426.58 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $213.80 | Professional | 26 · Professional part | $83.18 | $93.33 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $338.84 Typical High $870.96 | Professional | TC · Technical part | $186.21 | $338.84 | $870.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $165.96 | $245.47 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $85.11 | $123.03 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $239.88 Median $602.56 Typical High $602.56 | Professional | 50 · Both sides | $239.88 | $602.56 | $602.56 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $239.88 Typical High $275.42 | Professional | TC · Technical part | $109.65 | $239.88 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $346.74 Typical High $851.14 | Facility | None | $199.53 | $346.74 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $323.59 Typical High $707.95 | Professional | None (both parts) | $208.93 | $323.59 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $83.18 | $147.91 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $323.59 Median $436.52 Typical High $1,047.13 | Professional | 50 · Both sides | $323.59 | $436.52 | $1,047.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $239.88 Typical High $602.56 | Professional | TC · Technical part | $138.04 | $239.88 | $602.56 |
CareSource Setting Professional Modifier None (both parts) Typical Low $63.10 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $63.10 | $141.25 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $436.52 Typical High $436.52 | Facility | None | $295.12 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $467.74 Typical High $954.99 | Professional | None (both parts) | $234.42 | $467.74 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $104.71 Typical High $204.17 | Professional | 26 · Professional part | $66.07 | $104.71 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $302.00 Typical High $776.25 | Professional | TC · Technical part | $165.96 | $302.00 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $1,348.96 | Professional | None | $229.09 | $309.03 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $93.33 | $173.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $1,230.27 | Professional | TC · Technical part | $158.49 | $213.80 | $1,230.27 |
Oscar Health Setting Facility Modifier None Typical Low $281.84 Median $794.33 Typical High $2,511.89 | Facility | None | $281.84 | $794.33 | $2,511.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $69.18 | $194.98 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $467.74 Typical High $758.58 | Professional | None (both parts) | $234.42 | $467.74 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $91.20 Typical High $190.55 | Professional | 26 · Professional part | $61.66 | $91.20 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $316.23 Typical High $602.56 | Professional | TC · Technical part | $162.18 | $316.23 | $602.56 |
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 $125.89 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $125.89 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $50.12 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $263.03 | $338.84 | $338.84 |
Where Georgia sits
The same service costs 13.5 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· 24th of 51
$380
VT $2,089UT $155
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.