How much rates vary
Facilitymedian $234 · 10th to 90th $123 to $389Professionalmedian $191 · 10th to 90th $115 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 $93.33 Median $107.15 Typical High $107.15 | Facility | None | $93.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $114.82 | Professional | None (both parts) | $100.00 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $24.55 | Professional | 26 · Professional part | $20.89 | $21.38 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $89.13 | Professional | TC · Technical part | $79.43 | $87.10 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $263.03 Typical High $416.87 | Facility | None | $128.82 | $263.03 | $416.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $190.55 Typical High $416.87 | Professional | None (both parts) | $120.23 | $190.55 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $60.26 | Professional | 26 · Professional part | $23.44 | $30.90 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $151.36 Typical High $371.54 | Professional | TC · Technical part | $95.50 | $151.36 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $302.00 | Facility | None | $158.49 | $218.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $125.89 | $257.04 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $25.70 | $47.86 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $204.17 Typical High $331.13 | Professional | TC · Technical part | $100.00 | $204.17 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $851.14 | Professional | None | $141.25 | $223.87 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $251.19 Typical High $398.11 | Professional | None (both parts) | $128.82 | $251.19 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $37.15 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $208.93 Typical High $331.13 | Professional | TC · Technical part | $102.33 | $208.93 | $331.13 |
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 $50.12 Median $53.70 Typical High $57.54 | Professional | 52 · Reduced service | $50.12 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.38 Typical High $22.91 | Professional | 53 · Discontinued | $19.95 | $21.38 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $87.10 Typical High $91.20 | Professional | FX · Film X-ray | $75.86 | $87.10 | $91.20 |
Where Georgia sits
The same service costs 5.2 times more in Alabama 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· 27th of 51
$195
AL $550TX $105
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.