How much rates vary
Facilitymedian $63 · 10th to 90th $32 to $107Professionalmedian $45 · 10th to 90th $26 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 $28.84 Median $33.11 Typical High $33.11 | Facility | None | $28.84 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.11 Typical High $38.02 | Professional | None (both parts) | $28.84 | $33.11 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.46 Typical High $7.76 | Professional | 26 · Professional part | $6.03 | $6.46 | $7.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $27.54 | Professional | TC · Technical part | $22.39 | $26.30 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $56.23 Typical High $107.15 | Facility | None | $30.90 | $56.23 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.91 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $22.91 | $45.71 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $16.60 | Professional | 26 · Professional part | $7.59 | $10.00 | $16.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $34.67 Typical High $66.07 | Professional | TC · Technical part | $19.95 | $34.67 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $72.44 Typical High $316.23 | Facility | None | $52.48 | $72.44 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $52.48 Typical High $112.20 | Professional | None (both parts) | $33.11 | $52.48 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.59 Typical High $21.88 | Professional | 26 · Professional part | $7.94 | $12.59 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $40.74 Typical High $89.13 | Professional | TC · Technical part | $25.70 | $40.74 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $56.23 Typical High $87.10 | Professional | None | $43.65 | $56.23 | $87.10 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.75 Typical High $19.05 | Professional | 26 · Professional part | $8.91 | $11.75 | $19.05 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $35.48 | $45.71 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $47.86 Typical High $91.20 | Professional | None (both parts) | $28.84 | $47.86 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.22 Typical High $19.50 | Professional | 26 · Professional part | $7.94 | $11.22 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $38.02 Typical High $72.44 | Professional | TC · Technical part | $20.89 | $38.02 | $72.44 |
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 $14.45 Median $16.60 Typical High $19.05 | Professional | 52 · Reduced service | $14.45 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.61 Typical High $7.59 | Professional | 53 · Discontinued | $5.75 | $6.61 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $26.30 Typical High $30.20 | Professional | FX · Film X-ray | $22.91 | $26.30 | $30.20 |
Where Georgia sits
The same service costs 3.6 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· 26th of 51
$44.67
AK $115UT $31.62
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.