How much rates vary
Facilitymedian $65 · 10th to 90th $38 to $107Professionalmedian $56 · 10th to 90th $38 to $102
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 $38.02 Median $38.02 Typical High $69.18 | Facility | None | $38.02 | $38.02 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $40.74 Typical High $117.49 | Professional | None (both parts) | $36.31 | $40.74 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $38.90 | Professional | 26 · Professional part | $11.48 | $13.18 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $27.54 Typical High $79.43 | Professional | TC · Technical part | $23.99 | $27.54 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $19.05 Typical High $25.12 | Professional | 26 · Professional part | $11.75 | $19.05 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $63.10 Typical High $107.15 | Facility | None | $38.02 | $63.10 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $56.23 Typical High $97.72 | Professional | None (both parts) | $39.81 | $56.23 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $21.38 Typical High $33.88 | Professional | 26 · Professional part | $13.49 | $21.38 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $64.57 | Professional | TC · Technical part | $27.54 | $34.67 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $69.18 Typical High $269.15 | Facility | None | $46.77 | $69.18 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $72.44 Typical High $123.03 | Professional | None (both parts) | $44.67 | $72.44 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $24.55 Typical High $37.15 | Professional | 26 · Professional part | $16.60 | $24.55 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $46.77 Typical High $85.11 | Professional | TC · Technical part | $29.51 | $46.77 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $144.54 | Professional | None | $48.98 | $64.57 | $144.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $50.12 | Professional | 26 · Professional part | $14.45 | $19.05 | $50.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $128.82 | Professional | TC · Technical part | $34.67 | $45.71 | $128.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $14.13 Median $40.74 Typical High $79.43 | Professional | None (both parts) | $14.13 | $40.74 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $44.67 | $63.10 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.42 Typical High $33.11 | Professional | 26 · Professional part | $14.45 | $20.42 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $28.18 | $40.74 | $69.18 |
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 $16.60 Median $19.05 Typical High $21.88 | Professional | 52 · Reduced service | $16.60 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.59 Typical High $8.71 | Professional | 53 · Discontinued | $6.76 | $7.59 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $30.90 Typical High $33.11 | Professional | FX · Film X-ray | $26.92 | $30.90 | $33.11 |
Where Georgia sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 25th of 51
$56.23
AK $132UT $33.11
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.