How much rates vary
Facilitymedian $200 · 10th to 90th $107 to $562Professionalmedian $200 · 10th to 90th $117 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 $104.71 Median $117.49 Typical High $117.49 | Facility | None | $104.71 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $309.03 | Professional | None (both parts) | $104.71 | $117.49 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $144.54 | Professional | 26 · Professional part | $48.98 | $52.48 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $165.96 | Professional | TC · Technical part | $54.95 | $66.07 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $204.17 Typical High $562.34 | Facility | None | $109.65 | $204.17 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $616.60 | Professional | None (both parts) | $125.89 | $186.21 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $77.62 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $114.82 Typical High $549.54 | Professional | TC · Technical part | $74.13 | $114.82 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $158.49 Typical High $331.13 | Facility | None | $107.15 | $158.49 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $275.42 Typical High $676.08 | Professional | None (both parts) | $147.91 | $275.42 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $100.00 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $147.91 Typical High $363.08 | Professional | TC · Technical part | $83.18 | $147.91 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $190.55 Typical High $1,348.96 | Professional | None | $144.54 | $190.55 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $190.55 | Professional | 26 · Professional part | $66.07 | $87.10 | $190.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $1,348.96 | Professional | TC · Technical part | $77.62 | $102.33 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $263.03 Typical High $549.54 | Professional | None (both parts) | $144.54 | $263.03 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $144.54 | Professional | 26 · Professional part | $60.26 | $85.11 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $147.91 Typical High $467.74 | Professional | TC · Technical part | $77.62 | $147.91 | $467.74 |
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 $52.48 Median $58.88 Typical High $66.07 | Professional | 52 · Reduced service | $52.48 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.44 Typical High $26.30 | Professional | 53 · Discontinued | $20.89 | $23.44 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $93.33 Typical High $102.33 | Professional | FX · Film X-ray | $83.18 | $93.33 | $102.33 |
Where Georgia sits
The same service costs 5.4 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· 27th of 51
$200
AK $407UT $75.86
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.