How much rates vary
Facilitymedian $48 · 10th to 90th $28 to $81Professionalmedian $36 · 10th to 90th $26 to $71
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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $29.51 Typical High $83.18 | Professional | None (both parts) | $23.99 | $29.51 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $22.39 | Professional | 26 · Professional part | $6.76 | $8.32 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.89 Typical High $58.88 | Professional | TC · Technical part | $18.20 | $20.89 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | None (both parts) | $38.90 | $38.90 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $44.67 Typical High $81.28 | Facility | None | $28.18 | $44.67 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $36.31 Typical High $64.57 | Professional | None (both parts) | $26.92 | $36.31 | $64.57 |
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 $20.89 Median $26.92 Typical High $47.86 | Professional | TC · Technical part | $20.89 | $26.92 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $52.48 Typical High $229.09 | Facility | None | $37.15 | $52.48 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $29.51 | $50.12 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.49 Typical High $22.91 | Professional | 26 · Professional part | $8.71 | $13.49 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $34.67 Typical High $66.07 | Professional | TC · Technical part | $20.89 | $34.67 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $91.20 | Professional | None | $36.31 | $47.86 | $91.20 |
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 $26.92 Median $35.48 Typical High $89.13 | Professional | TC · Technical part | $26.92 | $35.48 | $89.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $29.51 Typical High $58.88 | Professional | None (both parts) | $8.91 | $29.51 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $41.69 Typical High $74.13 | Professional | None (both parts) | $30.20 | $41.69 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.75 Typical High $20.42 | Professional | 26 · Professional part | $7.94 | $11.75 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $53.70 | Professional | TC · Technical part | $21.38 | $29.51 | $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 $15.49 | Professional | 52 · Reduced service | $12.02 | $13.80 | $15.49 |
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 3.5 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· 32nd of 51
$36.31
AK $87.10FL $25.12
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.