How much rates vary
Facilitymedian $148 · 10th to 90th $68 to $324Professionalmedian $117 · 10th to 90th $79 to $240
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 $162.18 | Facility | None | $100.00 | $100.00 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $263.03 | Professional | None (both parts) | $87.10 | $102.33 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $63.10 | Professional | 26 · Professional part | $22.91 | $26.30 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $199.53 | Professional | TC · Technical part | $64.57 | $75.86 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $194.98 Typical High $234.42 | Professional | None (both parts) | $97.72 | $194.98 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $44.67 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $44.67 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $147.91 Typical High $302.00 | Facility | None | $66.07 | $147.91 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $75.86 | $112.20 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $20.89 | $29.51 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $87.10 Typical High $158.49 | Professional | TC · Technical part | $51.29 | $87.10 | $158.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.11 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $33.11 | $100.00 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $331.13 | Facility | None | $144.54 | $144.54 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $316.23 | Professional | None (both parts) | $100.00 | $128.82 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $28.18 | $42.66 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $245.47 | Professional | TC · Technical part | $64.57 | $81.28 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $316.23 | Professional | None | $123.03 | $144.54 | $316.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $70.79 | Professional | 26 · Professional part | $27.54 | $33.11 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $245.47 | Professional | TC · Technical part | $95.50 | $109.65 | $245.47 |
Oscar Health Setting Facility Modifier None Typical Low $676.08 Median $2,089.30 Typical High $2,089.30 | Facility | None | $676.08 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $79.43 | $128.82 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $63.10 | Professional | 26 · Professional part | $23.99 | $33.88 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $91.20 Typical High $199.53 | Professional | TC · Technical part | $51.29 | $91.20 | $199.53 |
2 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 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 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $79.43 Median $93.33 Typical High $234.42 | Professional | 59 · Distinct service | $79.43 | $93.33 | $234.42 |
Where Georgia sits
The same service costs 4.5 times more in Alaska than in New York. 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· 28th of 51
$120
AK $355NY $79.43
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.