How much rates vary
Facilitymedian $182 · 10th to 90th $93 to $282Professionalmedian $135 · 10th to 90th $93 to $282
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 $77.62 Median $89.13 Typical High $89.13 | Facility | None | $77.62 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $89.13 Typical High $95.50 | Professional | None (both parts) | $83.18 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $19.05 | Professional | 26 · Professional part | $16.22 | $16.22 | $19.05 |
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 $95.50 Median $186.21 Typical High $281.84 | Facility | None | $95.50 | $186.21 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $97.72 | $134.90 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $44.67 | Professional | 26 · Professional part | $18.20 | $23.99 | $44.67 |
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 $104.71 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $104.71 | $199.53 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $19.95 | $36.31 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $83.18 | $151.36 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $186.21 Typical High $436.52 | Professional | None | $114.82 | $186.21 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $107.15 | $154.88 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $28.18 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $128.82 Typical High $245.47 | Professional | TC · Technical part | $87.10 | $128.82 | $245.47 |
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 $44.67 Typical High $47.86 | Professional | 52 · Reduced service | $41.69 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.78 Typical High $23.44 | Professional | 53 · Discontinued | $16.60 | $17.78 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $70.79 Typical High $75.86 | Professional | FX · Film X-ray | $61.66 | $70.79 | $75.86 |
Where Georgia sits
The same service costs 5.0 times more in Alabama 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· 32nd of 51
$138
AL $479NY $95.50
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.