How much rates vary
Facilitymedian $676 · 10th to 90th $331 to $2,188Professionalmedian $490 · 10th to 90th $324 to $1,023
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 $1,288.25 Typical High $2,818.38 | Facility | None | $426.58 | $1,288.25 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $1,071.52 | Professional | None (both parts) | $371.54 | $426.58 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $218.78 | Professional | 26 · Professional part | $85.11 | $85.11 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $794.33 | Professional | TC · Technical part | $269.15 | $338.84 | $794.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $616.60 Typical High $1,047.13 | Facility | None | $309.03 | $616.60 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $467.74 Typical High $933.25 | Professional | None (both parts) | $302.00 | $467.74 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $100.00 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $363.08 Typical High $758.58 | Professional | TC · Technical part | $229.09 | $363.08 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $691.83 Typical High $691.83 | Facility | None | $316.23 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $630.96 Typical High $1,202.26 | Professional | None (both parts) | $363.08 | $630.96 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $251.19 | Professional | 26 · Professional part | $83.18 | $125.89 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $478.63 Typical High $1,023.29 | Professional | TC · Technical part | $269.15 | $478.63 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $1,621.81 | Professional | None | $338.84 | $457.09 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $89.13 | $120.23 | $204.17 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $338.84 Typical High $1,548.82 | Professional | TC · Technical part | $245.47 | $338.84 | $1,548.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $87.10 | $281.84 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $602.56 Typical High $1,047.13 | Professional | None (both parts) | $354.81 | $602.56 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $112.20 Typical High $245.47 | Professional | 26 · Professional part | $79.43 | $112.20 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $489.78 Typical High $812.83 | Professional | TC · Technical part | $263.03 | $489.78 | $812.83 |
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 $186.21 Median $213.80 Typical High $234.42 | Professional | 52 · Reduced service | $186.21 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $93.33 | Professional | 53 · Discontinued | $74.13 | $85.11 | $93.33 |
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 5.6 times more in Wyoming 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· 27th of 51
$501
WY $1,230UT $219
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.