How much rates vary
Facilitymedian $151 · 10th to 90th $98 to $302Professionalmedian $155 · 10th to 90th $38 to $363
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 $91.20 Median $102.33 Typical High $102.33 | Facility | None | $91.20 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $114.82 | Professional | None (both parts) | $91.20 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $40.74 | Professional | 26 · Professional part | $33.88 | $36.31 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $75.86 | Professional | TC · Technical part | $56.23 | $66.07 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $154.88 Typical High $257.04 | Facility | None | $97.72 | $154.88 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $151.36 Typical High $338.84 | Professional | None (both parts) | $38.02 | $151.36 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $37.15 | $47.86 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $239.88 | Professional | TC · Technical part | $69.18 | $97.72 | $239.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
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 $123.03 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $123.03 | $223.87 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $72.44 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $125.89 Typical High $208.93 | Professional | TC · Technical part | $77.62 | $125.89 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $338.84 Typical High $676.08 | Professional | None | $117.49 | $338.84 | $676.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $141.25 | Professional | 26 · Professional part | $38.90 | $48.98 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $218.78 Typical High $676.08 | Professional | TC · Technical part | $75.86 | $218.78 | $676.08 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $147.91 Typical High $371.54 | Professional | None (both parts) | $52.48 | $147.91 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $204.17 | $281.84 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $54.95 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $223.87 Typical High $363.08 | Professional | TC · Technical part | $144.54 | $223.87 | $363.08 |
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 $44.67 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $18.20 | $20.42 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $81.28 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $81.28 | $89.13 |
Where Georgia sits
The same service costs 5.2 times more in North Dakota than in Florida. 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· 33rd of 51
$155
ND $457FL $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.