How much rates vary
Facilitymedian $44 · 10th to 90th $25 to $79Professionalmedian $35 · 10th to 90th $23 to $71
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 $23.44 Median $26.92 Typical High $39.81 | Facility | None | $23.44 | $26.92 | $39.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $7.59 Typical High $12.59 | Facility | 26 · Professional part | $7.08 | $7.59 | $12.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $19.50 Typical High $30.20 | Facility | TC · Technical part | $18.20 | $19.50 | $30.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.84 Typical High $75.86 | Professional | None (both parts) | $25.12 | $28.84 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.71 Typical High $22.39 | Professional | 26 · Professional part | $7.41 | $8.71 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.95 Typical High $52.48 | Professional | TC · Technical part | $17.38 | $19.95 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $52.48 Typical High $60.26 | Professional | None (both parts) | $28.18 | $52.48 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $14.13 Typical High $16.98 | Professional | 26 · Professional part | $7.41 | $14.13 | $16.98 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $38.02 | $38.02 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $39.81 Typical High $79.43 | Facility | None | $23.99 | $39.81 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.39 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $22.39 | $34.67 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $18.20 | Professional | 26 · Professional part | $7.76 | $10.47 | $18.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $24.55 Typical High $45.71 | Professional | TC · Technical part | $16.22 | $24.55 | $45.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.71 Median $22.39 Typical High $38.90 | Professional | None (both parts) | $8.71 | $22.39 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $50.12 Typical High $229.09 | Facility | None | $33.88 | $50.12 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $44.67 Typical High $85.11 | Professional | None (both parts) | $26.92 | $44.67 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $8.51 | $13.80 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $30.20 Typical High $61.66 | Professional | TC · Technical part | $18.20 | $30.20 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $45.71 Typical High $69.18 | Professional | None | $33.88 | $45.71 | $69.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $25.70 | Professional | 26 · Professional part | $9.77 | $12.59 | $25.70 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $69.18 | Professional | TC · Technical part | $22.91 | $30.20 | $69.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.33 Median $28.84 Typical High $57.54 | Professional | None (both parts) | $9.33 | $28.84 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $25.12 | $38.02 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.02 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $12.02 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.92 Typical High $50.12 | Professional | TC · Technical part | $17.38 | $26.92 | $50.12 |
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 $11.75 Median $13.49 Typical High $15.14 | Professional | 52 · Reduced service | $11.75 | $13.49 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.37 Typical High $6.17 | Professional | 53 · Discontinued | $4.68 | $5.37 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $21.38 Typical High $23.44 | Professional | FX · Film X-ray | $18.62 | $21.38 | $23.44 |
Where Georgia sits
The same service costs 4.3 times more in Alaska than in New York. 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· 30th of 51
$34.67
AK $93.33NY $21.88
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.