How much rates vary
Facilitymedian $100 · 10th to 90th $65 to $141Professionalmedian $158 · 10th to 90th $68 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 $83.18 Median $91.20 Typical High $91.20 | Facility | None | $83.18 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $102.33 | Professional | None (both parts) | $87.10 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $53.70 | $54.95 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $36.31 Typical High $40.74 | Professional | TC · Technical part | $33.11 | $36.31 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $102.33 Typical High $141.25 | Facility | None | $64.57 | $102.33 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $61.66 | $151.36 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $93.33 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $114.82 | Professional | TC · Technical part | $48.98 | $66.07 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $91.20 Typical High $229.09 | Facility | None | $63.10 | $91.20 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $114.82 | $208.93 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $125.89 Typical High $190.55 | Professional | 26 · Professional part | $67.61 | $125.89 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $79.43 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $79.43 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $323.59 Typical High $776.25 | Professional | None | $112.20 | $323.59 | $776.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $177.83 | Professional | 26 · Professional part | $69.18 | $109.65 | $177.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $58.88 | $91.20 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $114.82 | $245.47 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $67.61 | $100.00 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $112.20 Typical High $263.03 | Professional | TC · Technical part | $45.71 | $112.20 | $263.03 |
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 $43.65 Median $45.71 Typical High $51.29 | Professional | 52 · Reduced service | $43.65 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.62 Typical High $20.42 | Professional | 53 · Discontinued | $17.38 | $18.62 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $74.13 Typical High $81.28 | Professional | FX · Film X-ray | $70.79 | $74.13 | $81.28 |
Where Georgia sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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
$148
NE $537NJ $115
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.