How much rates vary
Facilitymedian $275 · 10th to 90th $158 to $468Professionalmedian $195 · 10th to 90th $138 to $372
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 $138.04 Median $158.49 Typical High $158.49 | Facility | None | $138.04 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $194.98 | Professional | None (both parts) | $141.25 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $31.62 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $134.90 | Professional | TC · Technical part | $112.20 | $128.82 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $275.42 Typical High $478.63 | Facility | None | $158.49 | $275.42 | $478.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $131.83 | $194.98 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $34.67 | $46.77 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $269.15 | Professional | TC · Technical part | $100.00 | $154.88 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $416.87 | Facility | None | $208.93 | $302.00 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $165.96 | $275.42 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $67.61 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $223.87 Typical High $380.19 | Professional | TC · Technical part | $131.83 | $223.87 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $302.00 Typical High $446.68 | Professional | None | $190.55 | $302.00 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $239.88 Typical High $436.52 | Professional | None (both parts) | $158.49 | $239.88 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $36.31 | $52.48 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $114.82 | $190.55 | $346.74 |
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 $70.79 Median $79.43 Typical High $85.11 | Professional | 52 · Reduced service | $70.79 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $32.36 Typical High $33.88 | Professional | 53 · Discontinued | $28.18 | $32.36 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $128.82 Typical High $134.90 | Professional | FX · Film X-ray | $112.20 | $128.82 | $134.90 |
Where Georgia sits
The same service costs 3.8 times more in Alaska 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· 34th of 51
$209
AK $562FL $148
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.