How much rates vary
Facilitymedian $437 · 10th to 90th $245 to $1,148Professionalmedian $288 · 10th to 90th $224 to $646
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 $630.96 Typical High $1,949.84 | Facility | None | $275.42 | $630.96 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $288.40 Typical High $741.31 | Professional | None (both parts) | $275.42 | $288.40 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $169.82 | Professional | 26 · Professional part | $54.95 | $66.07 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $218.78 Typical High $562.34 | Professional | TC · Technical part | $204.17 | $218.78 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $208.93 | Professional | None (both parts) | $177.83 | $186.21 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $100.00 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $100.00 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $380.19 Typical High $602.56 | Facility | None | $218.78 | $380.19 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $223.87 | $288.40 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $77.62 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $478.63 | Professional | TC · Technical part | $169.82 | $218.78 | $478.63 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $60.26 | $169.82 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $398.11 Typical High $537.03 | Facility | None | $263.03 | $398.11 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $436.52 Typical High $776.25 | Professional | None (both parts) | $239.88 | $436.52 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $194.98 | Professional | 26 · Professional part | $61.66 | $97.72 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $316.23 Typical High $602.56 | Professional | TC · Technical part | $173.78 | $316.23 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $912.01 | Professional | None | $257.04 | $346.74 | $912.01 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $263.03 | Professional | 26 · Professional part | $64.57 | $89.13 | $263.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $794.33 | Professional | TC · Technical part | $190.55 | $263.03 | $794.33 |
Oscar Health Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $891.25 | Facility | None | $588.84 | $588.84 | $891.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $63.10 | $213.80 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $245.47 | $371.54 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $83.18 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $295.12 Typical High $512.86 | Professional | TC · Technical part | $177.83 | $295.12 | $512.86 |
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 $125.89 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $125.89 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $50.12 | $54.95 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $218.78 | $218.78 | $218.78 |
Where Georgia sits
The same service costs 4.5 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· 40th of 51
$288
AK $794UT $178
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.