How much rates vary
Facilitymedian $182 · 10th to 90th $102 to $282Professionalmedian $132 · 10th to 90th $95 to $275
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 $79.43 Median $91.20 Typical High $91.20 | Facility | None | $79.43 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $100.00 | Professional | None (both parts) | $85.11 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.20 Typical High $20.89 | Professional | 26 · Professional part | $17.78 | $18.20 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $75.86 | Professional | TC · Technical part | $66.07 | $72.44 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $186.21 Typical High $281.84 | Facility | None | $102.33 | $186.21 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $275.42 | Professional | None (both parts) | $100.00 | $131.83 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $52.48 | Professional | 26 · Professional part | $19.95 | $26.92 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $223.87 | Professional | TC · Technical part | $79.43 | $107.15 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $269.15 | Facility | None | $128.82 | $181.97 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $107.15 | $204.17 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $39.81 Typical High $58.88 | Professional | 26 · Professional part | $22.39 | $39.81 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $251.19 | Professional | TC · Technical part | $83.18 | $158.49 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $186.21 Typical High $407.38 | Professional | None | $117.49 | $186.21 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $109.65 | $154.88 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $22.39 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $128.82 Typical High $251.19 | Professional | TC · Technical part | $87.10 | $128.82 | $251.19 |
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 $41.69 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.20 Typical High $19.50 | Professional | 53 · Discontinued | $16.98 | $18.20 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $72.44 Typical High $77.62 | Professional | FX · Film X-ray | $63.10 | $72.44 | $77.62 |
Where Georgia sits
The same service costs 5.1 times more in Alabama than in Florida. 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· 37th of 51
$135
AL $479FL $93.33
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.