How much rates vary
Facilitymedian $24 · 10th to 90th $13 to $36Professionalmedian $24 · 10th to 90th $11 to $51
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 $15.85 Median $15.85 Typical High $19.50 | Facility | None | $15.85 | $15.85 | $19.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $17.38 Typical High $51.29 | Professional | None (both parts) | $14.79 | $17.38 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $28.18 | Professional | 26 · Professional part | $8.32 | $9.33 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $7.24 Typical High $25.70 | Professional | TC · Technical part | $6.61 | $7.24 | $25.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $17.78 Typical High $19.50 | Professional | 26 · Professional part | $8.71 | $17.78 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $27.54 Typical High $35.48 | Facility | None | $12.59 | $27.54 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.23 Median $22.91 Typical High $50.12 | Professional | None (both parts) | $10.23 | $22.91 | $50.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $9.12 | $13.80 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $12.30 Typical High $28.84 | Professional | TC · Technical part | $8.51 | $12.30 | $28.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.51 Median $11.75 Typical High $23.99 | Professional | None (both parts) | $8.51 | $11.75 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $19.95 Typical High $229.09 | Facility | None | $14.45 | $19.95 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $19.95 | $33.88 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $16.22 Typical High $26.30 | Professional | 26 · Professional part | $10.23 | $16.22 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $16.98 Typical High $26.30 | Professional | TC · Technical part | $8.91 | $16.98 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $28.84 Typical High $81.28 | Professional | None | $21.88 | $28.84 | $81.28 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.79 Typical High $29.51 | Professional | 26 · Professional part | $11.22 | $14.79 | $29.51 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $13.80 Typical High $81.28 | Professional | TC · Technical part | $10.47 | $13.80 | $81.28 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.77 Median $17.78 Typical High $36.31 | Professional | None (both parts) | $9.77 | $17.78 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $30.20 Typical High $50.12 | Professional | None (both parts) | $19.50 | $30.20 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $14.79 Typical High $24.55 | Professional | 26 · Professional part | $9.33 | $14.79 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $15.85 Typical High $26.30 | Professional | TC · Technical part | $8.71 | $15.85 | $26.30 |
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 $7.08 Median $7.94 Typical High $9.12 | Professional | 52 · Reduced service | $7.08 | $7.94 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.16 Typical High $3.63 | Professional | 53 · Discontinued | $2.82 | $3.16 | $3.63 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $11.22 Median $12.59 Typical High $13.80 | Professional | FX · Film X-ray | $11.22 | $12.59 | $13.80 |
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· 32nd of 51
$23.99
AK $56.23FL $15.49
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.