How much rates vary
Facilitymedian $234 · 10th to 90th $107 to $776Professionalmedian $263 · 10th to 90th $107 to $417
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 $218.78 | Professional | None (both parts) | $173.78 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $39.81 | Professional | 26 · Professional part | $32.36 | $34.67 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $199.53 | Professional | TC · Technical part | $162.18 | $194.98 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $380.19 Typical High $776.25 | Facility | None | $102.33 | $380.19 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $107.15 | $263.03 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $46.77 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $251.19 Typical High $331.13 | Professional | TC · Technical part | $64.57 | $251.19 | $331.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $316.23 | Facility | None | $117.49 | $147.91 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $165.96 Typical High $478.63 | Professional | None (both parts) | $102.33 | $165.96 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $42.66 | $70.79 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $93.33 Typical High $398.11 | Professional | TC · Technical part | $58.88 | $93.33 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $190.55 Typical High $251.19 | Professional | None | $112.20 | $190.55 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $53.70 | $107.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $107.15 Typical High $251.19 | Professional | TC · Technical part | $66.07 | $107.15 | $251.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $251.19 Typical High $630.96 | Professional | None (both parts) | $123.03 | $251.19 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $56.23 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $208.93 Typical High $524.81 | Professional | TC · Technical part | $72.44 | $208.93 | $524.81 |
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 $109.65 | Professional | 52 · Reduced service | $87.10 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $40.74 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $40.74 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $162.18 Typical High $169.82 | Professional | FX · Film X-ray | $138.04 | $162.18 | $169.82 |
Where Georgia sits
The same service costs 3.6 times more in Nebraska 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· 12th of 51
$263
NE $407NJ $112
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.