How much rates vary
Facilitymedian $49 · 10th to 90th $29 to $83Professionalmedian $38 · 10th to 90th $28 to $76
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 $25.12 Median $28.84 Typical High $38.02 | Facility | None | $25.12 | $28.84 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $31.62 Typical High $85.11 | Professional | None (both parts) | $27.54 | $31.62 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $25.12 | Professional | 26 · Professional part | $7.94 | $9.33 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $58.88 | Professional | TC · Technical part | $19.50 | $21.88 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.59 Typical High $18.20 | Professional | 26 · Professional part | $9.12 | $12.59 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $46.77 Typical High $83.18 | Facility | None | $27.54 | $46.77 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $38.02 Typical High $67.61 | Professional | None (both parts) | $28.18 | $38.02 | $67.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.59 Typical High $19.95 | Professional | 26 · Professional part | $9.12 | $12.59 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $26.92 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $53.70 Typical High $229.09 | Facility | None | $36.31 | $53.70 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $51.29 Typical High $91.20 | Professional | None (both parts) | $30.90 | $51.29 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.14 Typical High $25.70 | Professional | 26 · Professional part | $10.00 | $15.14 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.88 Typical High $66.07 | Professional | TC · Technical part | $20.89 | $33.88 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $48.98 Typical High $97.72 | Professional | None | $37.15 | $48.98 | $97.72 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $29.51 | Professional | 26 · Professional part | $10.47 | $13.80 | $29.51 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $34.67 Typical High $87.10 | Professional | TC · Technical part | $26.30 | $34.67 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $42.66 Typical High $75.86 | Professional | None (both parts) | $31.62 | $42.66 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.49 Typical High $22.91 | Professional | 26 · Professional part | $9.33 | $13.49 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $53.70 | Professional | TC · Technical part | $21.38 | $29.51 | $53.70 |
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 $12.59 Median $14.45 Typical High $16.22 | Professional | 52 · Reduced service | $12.59 | $14.45 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.75 Typical High $6.46 | Professional | 53 · Discontinued | $5.01 | $5.75 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $22.91 Typical High $25.12 | Professional | FX · Film X-ray | $19.95 | $22.91 | $25.12 |
Where Georgia sits
The same service costs 3.5 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· 30th of 51
$38.02
AK $95.50FL $26.92
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.