How much rates vary
Facilitymedian $174 · 10th to 90th $100 to $288Professionalmedian $129 · 10th to 90th $91 to $251
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 $100.00 Median $100.00 Typical High $186.21 | Facility | None | $100.00 | $100.00 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $309.03 | Professional | None (both parts) | $87.10 | $100.00 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $87.10 | Professional | 26 · Professional part | $25.70 | $28.84 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $223.87 | Professional | TC · Technical part | $63.10 | $74.13 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $57.54 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $162.18 Typical High $288.40 | Facility | None | $100.00 | $162.18 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $83.18 | $125.89 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $38.90 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $158.49 | Professional | TC · Technical part | $58.88 | $91.20 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $269.15 | Facility | None | $120.23 | $181.97 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $107.15 | $169.82 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $32.36 | $50.12 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $125.89 Typical High $223.87 | Professional | TC · Technical part | $74.13 | $125.89 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $245.47 | Professional | None | $109.65 | $128.82 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $93.33 | Professional | 26 · Professional part | $29.51 | $37.15 | $93.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $245.47 | Professional | TC · Technical part | $81.28 | $93.33 | $245.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $31.62 | $102.33 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $281.84 | Professional | None (both parts) | $107.15 | $144.54 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $42.66 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $204.17 | Professional | TC · Technical part | $72.44 | $104.71 | $204.17 |
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 $43.65 Median $50.12 Typical High $53.70 | Professional | 52 · Reduced service | $43.65 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $17.38 | $19.95 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $81.28 Typical High $85.11 | Professional | FX · Film X-ray | $70.79 | $81.28 | $85.11 |
Where Georgia sits
The same service costs 3.9 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
$129
AK $339TX $87.10
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.