How much rates vary
Facilitymedian $54 · 10th to 90th $30 to $93Professionalmedian $44 · 10th to 90th $30 to $79
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 $29.51 Median $30.20 Typical High $54.95 | Facility | None | $29.51 | $30.20 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.11 Typical High $93.33 | Professional | None (both parts) | $29.51 | $33.11 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.71 Typical High $27.54 | Professional | 26 · Professional part | $7.41 | $8.71 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $66.07 | Professional | TC · Technical part | $21.38 | $23.44 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $63.10 | Professional | None (both parts) | $44.67 | $60.26 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $14.45 Typical High $16.98 | Professional | 26 · Professional part | $7.94 | $14.45 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $48.98 Typical High $93.33 | Facility | None | $31.62 | $48.98 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $41.69 Typical High $74.13 | Professional | None (both parts) | $29.51 | $41.69 | $74.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $14.13 Typical High $22.91 | Professional | 26 · Professional part | $8.71 | $14.13 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.90 Typical High $54.95 | Professional | TC · Technical part | $21.88 | $30.90 | $54.95 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.71 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $8.71 | $26.92 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $60.26 Typical High $269.15 | Facility | None | $41.69 | $60.26 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $57.54 Typical High $97.72 | Professional | None (both parts) | $34.67 | $57.54 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.98 Typical High $25.70 | Professional | 26 · Professional part | $10.96 | $16.98 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $38.02 Typical High $74.13 | Professional | TC · Technical part | $23.99 | $38.02 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $102.33 | Professional | None | $39.81 | $52.48 | $102.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $35.48 | Professional | 26 · Professional part | $9.77 | $12.88 | $35.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $100.00 | Professional | TC · Technical part | $30.20 | $39.81 | $100.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.55 Median $33.88 Typical High $60.26 | Professional | None (both parts) | $9.55 | $33.88 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $47.86 Typical High $81.28 | Professional | None (both parts) | $33.88 | $47.86 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $23.44 | Professional | 26 · Professional part | $10.00 | $14.13 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $60.26 | Professional | TC · Technical part | $22.91 | $33.11 | $60.26 |
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 $13.18 Median $15.14 Typical High $17.38 | Professional | 52 · Reduced service | $13.18 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.03 Typical High $7.08 | Professional | 53 · Discontinued | $5.25 | $6.03 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $24.55 Typical High $26.92 | Professional | FX · Film X-ray | $21.38 | $24.55 | $26.92 |
Where Georgia sits
The same service costs 3.6 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· 28th of 51
$43.65
AK $105FL $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.