How much rates vary
Facilitymedian $316 · 10th to 90th $162 to $708Professionalmedian $219 · 10th to 90th $151 to $447
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 $173.78 Median $204.17 Typical High $204.17 | Facility | None | $173.78 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $173.78 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.95 Typical High $23.99 | Professional | 26 · Professional part | $18.62 | $19.95 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $218.78 | Professional | TC · Technical part | $154.88 | $181.97 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $346.74 Typical High $707.95 | Facility | None | $162.18 | $346.74 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $371.54 | Professional | None (both parts) | $151.36 | $218.78 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $48.98 | Professional | 26 · Professional part | $21.38 | $28.18 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $120.23 | $190.55 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $316.23 Typical High $331.13 | Facility | None | $269.15 | $316.23 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $309.03 Typical High $616.60 | Professional | None (both parts) | $190.55 | $309.03 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $38.90 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $38.90 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $257.04 Typical High $562.34 | Professional | TC · Technical part | $173.78 | $257.04 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $407.38 | Professional | None | $257.04 | $275.42 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $134.90 | $263.03 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $33.11 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $234.42 Typical High $457.09 | Professional | TC · Technical part | $109.65 | $234.42 | $457.09 |
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 $87.10 Median $102.33 Typical High $107.15 | Professional | 52 · Reduced service | $87.10 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $40.74 Typical High $42.66 | Professional | 53 · Discontinued | $34.67 | $40.74 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $162.18 Typical High $169.82 | Professional | FX · Film X-ray | $141.25 | $162.18 | $169.82 |
Where Georgia sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$229
AK $661KY $155
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.