How much rates vary
Facilitymedian $204 · 10th to 90th $102 to $347Professionalmedian $148 · 10th to 90th $98 to $275
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 $87.10 Median $97.72 Typical High $199.53 | Facility | None | $87.10 | $97.72 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $257.04 | Professional | None (both parts) | $87.10 | $97.72 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $85.11 | Professional | 26 · Professional part | $28.84 | $31.62 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $165.96 | Professional | TC · Technical part | $57.54 | $67.61 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $28.84 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $346.74 | Facility | None | $107.15 | $199.53 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $91.20 | $141.25 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $43.65 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $64.57 | $104.71 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $223.87 Typical High $302.00 | Facility | None | $147.91 | $223.87 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $128.82 | $199.53 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $57.54 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $154.88 Typical High $275.42 | Professional | TC · Technical part | $93.33 | $154.88 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $269.15 | Professional | None | $134.90 | $158.49 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $109.65 | Professional | 26 · Professional part | $34.67 | $43.65 | $109.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $269.15 | Professional | TC · Technical part | $100.00 | $112.20 | $269.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $51.29 | $144.54 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $123.03 | $173.78 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $36.31 | $48.98 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $128.82 Typical High $257.04 | Professional | TC · Technical part | $79.43 | $128.82 | $257.04 |
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 $42.66 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $42.66 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.50 Typical High $22.91 | Professional | 53 · Discontinued | $17.38 | $19.50 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $79.43 Typical High $85.11 | Professional | FX · Film X-ray | $69.18 | $79.43 | $85.11 |
Where Georgia sits
The same service costs 3.7 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· 29th of 51
$148
AK $363TX $97.72
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.