How much rates vary
Facilitymedian $56 · 10th to 90th $32 to $102Professionalmedian $41 · 10th to 90th $28 to $85
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 $28.18 Median $32.36 Typical High $50.12 | Facility | None | $28.18 | $32.36 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $34.67 Typical High $93.33 | Professional | None (both parts) | $30.20 | $34.67 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.32 Typical High $22.39 | Professional | 26 · Professional part | $6.92 | $8.32 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.30 Typical High $70.79 | Professional | TC · Technical part | $21.38 | $26.30 | $70.79 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $72.44 Typical High $87.10 | Professional | None (both parts) | $66.07 | $72.44 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $8.32 | $16.22 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $21.88 | $21.88 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $50.12 Typical High $102.33 | Facility | None | $28.84 | $50.12 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $40.74 Typical High $79.43 | Professional | None (both parts) | $25.70 | $40.74 | $79.43 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $17.38 | Professional | 26 · Professional part | $7.76 | $10.72 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $33.11 Typical High $51.29 | Professional | TC · Technical part | $21.88 | $33.11 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $64.57 Typical High $229.09 | Facility | None | $44.67 | $64.57 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $51.29 Typical High $102.33 | Professional | None (both parts) | $31.62 | $51.29 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.18 Typical High $21.88 | Professional | 26 · Professional part | $8.51 | $13.18 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $38.90 Typical High $81.28 | Professional | TC · Technical part | $22.91 | $38.90 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $79.43 | Professional | None | $39.81 | $53.70 | $79.43 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $25.70 | Professional | 26 · Professional part | $9.33 | $12.30 | $25.70 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.90 Typical High $79.43 | Professional | TC · Technical part | $29.51 | $38.90 | $79.43 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $35.48 Typical High $64.57 | Professional | None (both parts) | $9.12 | $35.48 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $44.67 Typical High $85.11 | Professional | None (both parts) | $29.51 | $44.67 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.75 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $11.75 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $33.88 Typical High $66.07 | Professional | TC · Technical part | $22.39 | $33.88 | $66.07 |
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 $14.13 Median $16.22 Typical High $18.62 | Professional | 52 · Reduced service | $14.13 | $16.22 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.46 Typical High $7.41 | Professional | 53 · Discontinued | $5.62 | $6.46 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $25.70 Typical High $28.18 | Professional | FX · Film X-ray | $22.39 | $25.70 | $28.18 |
Where Georgia sits
The same service costs 3.9 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· 29th of 51
$41.69
AK $112FL $28.84
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.