How much rates vary
Facilitymedian $191 · 10th to 90th $123 to $331Professionalmedian $166 · 10th to 90th $35 to $275
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 $102.33 Median $117.49 Typical High $117.49 | Facility | None | $102.33 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $134.90 | Professional | None (both parts) | $102.33 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $36.31 | Professional | 26 · Professional part | $29.51 | $31.62 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $97.72 | Professional | TC · Technical part | $72.44 | $85.11 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $331.13 | Facility | None | $128.82 | $194.98 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $34.67 | $177.83 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $43.65 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $85.11 | $131.83 | $204.17 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $331.13 | Facility | None | $134.90 | $134.90 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $141.25 | $229.09 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $38.90 | $63.10 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $97.72 | $158.49 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $257.04 Typical High $338.84 | Professional | None | $138.04 | $257.04 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $120.23 | Professional | 26 · Professional part | $35.48 | $44.67 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $338.84 | Professional | TC · Technical part | $102.33 | $181.97 | $338.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $102.33 | $162.18 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $50.12 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $63.10 | $114.82 | $190.55 |
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 $51.29 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $51.29 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $20.42 | $23.44 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $93.33 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $93.33 | $100.00 |
Where Georgia sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 23rd of 51
$166
AK $389DC $87.10
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.