How much rates vary
Facilitymedian $229 · 10th to 90th $117 to $631Professionalmedian $245 · 10th to 90th $145 to $603
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 $144.54 Median $144.54 Typical High $158.49 | Facility | None | $144.54 | $144.54 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $467.74 | Professional | None (both parts) | $134.90 | $158.49 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $223.87 | Professional | 26 · Professional part | $74.13 | $83.18 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $239.88 | Professional | TC · Technical part | $56.23 | $69.18 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $169.82 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $169.82 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $245.47 Typical High $645.65 | Facility | None | $123.03 | $245.47 | $645.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $239.88 Typical High $616.60 | Professional | None (both parts) | $154.88 | $239.88 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $66.07 | $102.33 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $123.03 Typical High $575.44 | Professional | TC · Technical part | $74.13 | $123.03 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $162.18 Typical High $331.13 | Facility | None | $109.65 | $162.18 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $331.13 Typical High $724.44 | Professional | None (both parts) | $181.97 | $331.13 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $125.89 Typical High $251.19 | Professional | 26 · Professional part | $74.13 | $125.89 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $154.88 Typical High $446.68 | Professional | TC · Technical part | $81.28 | $154.88 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $1,348.96 | Professional | None | $181.97 | $239.88 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $204.17 | Professional | 26 · Professional part | $95.50 | $131.83 | $204.17 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $1,348.96 | Professional | TC · Technical part | $81.28 | $107.15 | $1,348.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $112.20 | $147.91 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $177.83 | $323.59 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $109.65 Typical High $223.87 | Professional | 26 · Professional part | $66.07 | $109.65 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $154.88 Typical High $467.74 | Professional | TC · Technical part | $77.62 | $154.88 | $467.74 |
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 $66.07 Median $72.44 Typical High $81.28 | Professional | 52 · Reduced service | $66.07 | $72.44 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $32.36 | Professional | 53 · Discontinued | $26.30 | $28.84 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $117.49 Typical High $128.82 | Professional | FX · Film X-ray | $104.71 | $117.49 | $128.82 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | XU · Unusual separate service | $131.83 | $131.83 | $131.83 |
Where Georgia sits
The same service costs 5.1 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· 30th of 51
$240
AK $513UT $100
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.