How much rates vary
Facilitymedian $81 · 10th to 90th $46 to $141Professionalmedian $58 · 10th to 90th $40 to $115
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 $45.71 Median $45.71 Typical High $95.50 | Facility | None | $45.71 | $45.71 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $125.89 | Professional | None (both parts) | $42.66 | $45.71 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.23 Typical High $28.84 | Professional | 26 · Professional part | $9.77 | $10.23 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $35.48 Typical High $93.33 | Professional | TC · Technical part | $33.11 | $35.48 | $93.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $20.42 | Professional | 26 · Professional part | $9.55 | $9.55 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $72.44 Typical High $141.25 | Facility | None | $45.71 | $72.44 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $57.54 Typical High $102.33 | Professional | None (both parts) | $39.81 | $57.54 | $102.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $23.99 | Professional | 26 · Professional part | $10.96 | $15.14 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $46.77 Typical High $85.11 | Professional | TC · Technical part | $30.20 | $46.77 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $91.20 Typical High $229.09 | Facility | None | $64.57 | $91.20 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $77.62 Typical High $144.54 | Professional | None (both parts) | $46.77 | $77.62 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $18.62 Typical High $30.90 | Professional | 26 · Professional part | $12.02 | $18.62 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $57.54 Typical High $114.82 | Professional | TC · Technical part | $34.67 | $57.54 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $123.03 | Professional | None | $60.26 | $77.62 | $123.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $35.48 | Professional | 26 · Professional part | $12.59 | $16.60 | $35.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $123.03 | Professional | TC · Technical part | $44.67 | $58.88 | $123.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $12.30 Median $50.12 Typical High $97.72 | Professional | None (both parts) | $12.30 | $50.12 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $66.07 Typical High $120.23 | Professional | None (both parts) | $43.65 | $66.07 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.60 Typical High $27.54 | Professional | 26 · Professional part | $10.96 | $16.60 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $31.62 | $50.12 | $91.20 |
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 $19.95 Median $22.91 Typical High $25.70 | Professional | 52 · Reduced service | $19.95 | $22.91 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.12 Typical High $10.23 | Professional | 53 · Discontinued | $7.94 | $9.12 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $36.31 Typical High $38.90 | Professional | FX · Film X-ray | $31.62 | $36.31 | $38.90 |
Where Georgia sits
The same service costs 4.5 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· 31st of 51
$57.54
AK $148UT $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.