How much rates vary
Facilitymedian $324 · 10th to 90th $191 to $562Professionalmedian $229 · 10th to 90th $155 to $427
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 $158.49 Median $181.97 Typical High $181.97 | Facility | None | $158.49 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $223.87 | Professional | None (both parts) | $162.18 | $181.97 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $28.84 | $28.84 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $162.18 | Professional | TC · Technical part | $134.90 | $154.88 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $575.44 | Facility | None | $190.55 | $309.03 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $154.88 | $229.09 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $32.36 | $44.67 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $186.21 Typical High $331.13 | Professional | TC · Technical part | $120.23 | $186.21 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $489.78 | Facility | None | $263.03 | $363.08 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $194.98 | $316.23 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $57.54 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $269.15 Typical High $446.68 | Professional | TC · Technical part | $154.88 | $269.15 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $363.08 Typical High $537.03 | Professional | None | $229.09 | $363.08 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $173.78 | $275.42 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $87.10 | Professional | 26 · Professional part | $33.88 | $47.86 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $229.09 Typical High $436.52 | Professional | TC · Technical part | $134.90 | $229.09 | $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 $81.28 Median $91.20 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $36.31 Typical High $38.90 | Professional | 53 · Discontinued | $32.36 | $36.31 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $147.91 Typical High $154.88 | Professional | FX · Film X-ray | $125.89 | $147.91 | $154.88 |
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· 33rd of 51
$240
AK $794TX $174
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.