How much rates vary
Facilitymedian $263 · 10th to 90th $155 to $417Professionalmedian $200 · 10th to 90th $135 to $355
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 $134.90 Median $154.88 Typical High $154.88 | Facility | None | $134.90 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $162.18 | Professional | None (both parts) | $131.83 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $36.31 | Professional | 26 · Professional part | $30.20 | $31.62 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $125.89 | Professional | TC · Technical part | $102.33 | $123.03 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $416.87 | Facility | None | $165.96 | $251.19 | $416.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $125.89 | $199.53 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $46.77 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $158.49 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $158.49 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $269.15 Typical High $354.81 | Facility | None | $199.53 | $269.15 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $295.12 Typical High $426.58 | Professional | None (both parts) | $173.78 | $295.12 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $37.15 | $66.07 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $223.87 Typical High $331.13 | Professional | TC · Technical part | $128.82 | $223.87 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $436.52 | Professional | None | $186.21 | $295.12 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $154.88 | $234.42 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $50.12 | $93.33 |
United 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 |
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 $66.07 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $66.07 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $26.30 | $30.90 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $123.03 Typical High $131.83 | Professional | FX · Film X-ray | $104.71 | $123.03 | $131.83 |
Where Georgia sits
The same service costs 4.8 times more in Alabama 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
$204
AL $661TX $138
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.