How much rates vary
Facilitymedian $200 · 10th to 90th $110 to $562Professionalmedian $204 · 10th to 90th $123 to $617
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $151.36 | Professional | None (both parts) | $109.65 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $52.48 | $56.23 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $77.62 | Professional | TC · Technical part | $56.23 | $66.07 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $213.80 Typical High $562.34 | Facility | None | $112.20 | $213.80 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $199.53 Typical High $630.96 | Professional | None (both parts) | $131.83 | $199.53 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $83.18 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $107.15 Typical High $549.54 | Professional | TC · Technical part | $72.44 | $107.15 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $165.96 Typical High $331.13 | Facility | None | $109.65 | $165.96 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $281.84 Typical High $707.95 | Professional | None (both parts) | $151.36 | $281.84 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $107.15 Typical High $177.83 | Professional | 26 · Professional part | $69.18 | $107.15 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $147.91 Typical High $363.08 | Professional | TC · Technical part | $85.11 | $147.91 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $1,348.96 | Professional | None | $151.36 | $199.53 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $208.93 | Professional | 26 · Professional part | $70.79 | $93.33 | $208.93 |
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 $104.71 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $104.71 | $117.49 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $151.36 | $275.42 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $93.33 | $158.49 |
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 $54.95 Median $61.66 Typical High $69.18 | Professional | 52 · Reduced service | $54.95 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $27.54 | Professional | 53 · Discontinued | $21.88 | $24.55 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $97.72 Typical High $107.15 | Professional | FX · Film X-ray | $87.10 | $97.72 | $107.15 |
Where Georgia sits
The same service costs 4.7 times more in Alaska than in Texas. 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· 26th of 51
$204
AK $427TX $91.20
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.