How much rates vary
Facilitymedian $813 · 10th to 90th $372 to $10,000Professionalmedian $2,291 · 10th to 90th $302 to $4,169
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 $602.56 Median $2,398.83 Typical High $2,398.83 | Facility | None | $602.56 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,398.83 Typical High $2,511.89 | Professional | None (both parts) | $2,041.74 | $2,398.83 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $42.66 | $45.71 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,995.26 Median $2,398.83 Typical High $2,511.89 | Professional | TC · Technical part | $1,995.26 | $2,398.83 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $4,365.16 Typical High $10,000.00 | Facility | None | $371.54 | $4,365.16 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $2,570.40 Typical High $3,890.45 | Professional | None (both parts) | $316.23 | $2,570.40 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $50.12 | $69.18 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $2,570.40 Typical High $3,890.45 | Professional | TC · Technical part | $251.19 | $2,570.40 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $4,570.88 | Facility | None | $323.59 | $524.81 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $269.15 | $426.58 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $89.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $338.84 Typical High $630.96 | Professional | TC · Technical part | $213.80 | $338.84 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $537.03 Typical High $812.83 | Professional | None | $275.42 | $537.03 | $812.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $169.82 | Professional | 26 · Professional part | $57.54 | $75.86 | $169.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $426.58 Typical High $812.83 | Professional | TC · Technical part | $218.78 | $426.58 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $2,691.53 Typical High $6,760.83 | Professional | None (both parts) | $309.03 | $2,691.53 | $6,760.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $75.86 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $2,754.23 Typical High $6,606.93 | Professional | TC · Technical part | $251.19 | $2,754.23 | $6,606.93 |
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 $1,000.00 Median $1,202.26 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,000.00 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $478.63 Typical High $501.19 | Professional | 53 · Discontinued | $407.38 | $478.63 | $501.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,621.81 Median $1,949.84 Typical High $1,995.26 | Professional | FX · Film X-ray | $1,621.81 | $1,949.84 | $1,995.26 |
Where Georgia sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 15th of 51
$2,291
CO $3,890NJ $257
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.