How much rates vary
Facilitymedian $49 · 10th to 90th $26 to $81Professionalmedian $36 · 10th to 90th $23 to $72
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 $23.99 Median $27.54 Typical High $27.54 | Facility | None | $23.99 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $27.54 Typical High $83.18 | Professional | None (both parts) | $23.99 | $27.54 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $22.91 | Professional | 26 · Professional part | $7.08 | $7.94 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.95 Typical High $60.26 | Professional | TC · Technical part | $16.98 | $19.95 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $40.74 Typical High $81.28 | Facility | None | $24.55 | $40.74 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.39 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $22.39 | $36.31 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $17.38 | Professional | 26 · Professional part | $7.76 | $10.47 | $17.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $54.95 Typical High $100.00 | Professional | 50 · Both sides | $39.81 | $54.95 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.92 Typical High $43.65 | Professional | TC · Technical part | $17.38 | $26.92 | $43.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.71 Median $23.99 Typical High $40.74 | Professional | None (both parts) | $8.71 | $23.99 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $53.70 Typical High $229.09 | Facility | None | $37.15 | $53.70 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $44.67 Typical High $89.13 | Professional | None (both parts) | $27.54 | $44.67 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.49 Typical High $22.91 | Professional | 26 · Professional part | $8.51 | $13.49 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $30.90 Typical High $66.07 | Professional | TC · Technical part | $19.05 | $30.90 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $69.18 | Professional | None | $33.88 | $46.77 | $69.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $23.99 | Professional | 26 · Professional part | $9.77 | $12.59 | $23.99 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $31.62 Typical High $69.18 | Professional | TC · Technical part | $24.55 | $31.62 | $69.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $12.02 Median $33.88 Typical High $52.48 | Professional | None (both parts) | $12.02 | $33.88 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $38.90 Typical High $74.13 | Professional | None (both parts) | $25.12 | $38.90 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.02 Typical High $20.42 | Professional | 26 · Professional part | $7.94 | $12.02 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.18 Typical High $53.70 | Professional | TC · Technical part | $18.20 | $28.18 | $53.70 |
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 $12.02 Median $13.80 Typical High $15.85 | Professional | 52 · Reduced service | $12.02 | $13.80 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.50 Typical High $6.31 | Professional | 53 · Discontinued | $4.79 | $5.50 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $21.88 Typical High $23.99 | Professional | FX · Film X-ray | $19.05 | $21.88 | $23.99 |
Where Georgia sits
The same service costs 4.1 times more in Alaska 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· 27th of 51
$36.31
AK $95.50NY $23.44
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.