How much rates vary
Facilitymedian $631 · 10th to 90th $417 to $1,096Professionalmedian $513 · 10th to 90th $355 to $1,023
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 $398.11 Median $416.87 Typical High $660.69 | Facility | None | $398.11 | $416.87 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $446.68 Typical High $1,096.48 | Professional | None (both parts) | $380.19 | $446.68 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $77.62 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $77.62 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $363.08 Typical High $933.25 | Professional | TC · Technical part | $316.23 | $363.08 | $933.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $691.83 | Professional | None (both parts) | $338.84 | $338.84 | $691.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $138.04 Typical High $158.49 | Professional | 26 · Professional part | $67.61 | $138.04 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $1,096.48 | Facility | None | $457.09 | $630.96 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $331.13 | $501.19 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $97.72 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $407.38 Typical High $776.25 | Professional | TC · Technical part | $269.15 | $407.38 | $776.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $107.15 Median $426.58 Typical High $537.03 | Professional | None (both parts) | $107.15 | $426.58 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $776.25 Typical High $1,096.48 | Facility | None | $316.23 | $776.25 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $707.95 Typical High $1,380.38 | Professional | None (both parts) | $446.68 | $707.95 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $138.04 Typical High $251.19 | Professional | 26 · Professional part | $83.18 | $138.04 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $602.56 Typical High $1,122.02 | Professional | TC · Technical part | $389.05 | $602.56 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $794.33 Typical High $1,148.15 | Professional | None | $489.78 | $794.33 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $144.54 Typical High $218.78 | Professional | 26 · Professional part | $91.20 | $144.54 | $218.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $645.65 Typical High $954.99 | Professional | TC · Technical part | $398.11 | $645.65 | $954.99 |
Oscar Health Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $3,630.78 | Facility | None | $741.31 | $1,479.11 | $3,630.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $524.81 Typical High $645.65 | Professional | None (both parts) | $114.82 | $524.81 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $645.65 Typical High $1,202.26 | Professional | None (both parts) | $389.05 | $645.65 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $218.78 | Professional | 26 · Professional part | $77.62 | $114.82 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $537.03 Typical High $977.24 | Professional | TC · Technical part | $309.03 | $537.03 | $977.24 |
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 $181.97 Median $208.93 Typical High $257.04 | Professional | 52 · Reduced service | $181.97 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $83.18 Typical High $102.33 | Professional | 53 · Discontinued | $72.44 | $83.18 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $338.84 Typical High $354.81 | Professional | FX · Film X-ray | $295.12 | $338.84 | $354.81 |
Where Georgia sits
The same service costs 4.6 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· 38th of 51
$513
AK $1,698TX $372
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.