How much rates vary
Facilitymedian $316 · 10th to 90th $182 to $589Professionalmedian $219 · 10th to 90th $148 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 $154.88 Median $181.97 Typical High $181.97 | Facility | None | $154.88 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $158.49 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | 26 · Professional part | $19.95 | $19.95 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $165.96 | Professional | TC · Technical part | $138.04 | $158.49 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $309.03 Typical High $588.84 | Facility | None | $181.97 | $309.03 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $144.54 | $218.78 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $22.39 | $28.84 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $120.23 | $190.55 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $512.86 | Facility | None | $257.04 | $371.54 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $177.83 | $295.12 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $23.44 | $43.65 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $269.15 Typical High $467.74 | Professional | TC · Technical part | $158.49 | $269.15 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $501.19 | Professional | None | $213.80 | $338.84 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $158.49 | $263.03 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $23.44 | $33.11 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $131.83 | $234.42 | $436.52 |
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 $79.43 Median $89.13 Typical High $95.50 | Professional | 52 · Reduced service | $79.43 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $36.31 Typical High $38.02 | Professional | 53 · Discontinued | $31.62 | $36.31 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $144.54 Typical High $151.36 | Professional | FX · Film X-ray | $123.03 | $144.54 | $151.36 |
Where Georgia sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 33rd of 51
$229
AK $776KY $170
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.