How much rates vary
Facilitymedian $79 · 10th to 90th $45 to $138Professionalmedian $59 · 10th to 90th $39 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 $43.65 Median $46.77 Typical High $69.18 | Facility | None | $43.65 | $46.77 | $69.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $23.44 | Facility | 26 · Professional part | $11.48 | $12.88 | $23.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $34.67 Typical High $52.48 | Facility | TC · Technical part | $31.62 | $34.67 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $128.82 | Professional | None (both parts) | $43.65 | $53.70 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.80 Typical High $37.15 | Professional | 26 · Professional part | $11.22 | $13.80 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.90 Typical High $95.50 | Professional | TC · Technical part | $31.62 | $38.90 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $42.66 Median $63.10 Typical High $107.15 | Professional | None (both parts) | $42.66 | $63.10 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $19.05 Typical High $25.12 | Professional | 26 · Professional part | $11.48 | $19.05 | $25.12 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $72.44 Typical High $81.28 | Professional | TC · Technical part | $52.48 | $72.44 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $67.61 Typical High $138.04 | Facility | None | $41.69 | $67.61 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $57.54 Typical High $102.33 | Professional | None (both parts) | $35.48 | $57.54 | $102.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.05 Typical High $31.62 | Professional | 26 · Professional part | $12.88 | $19.05 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $45.71 Typical High $81.28 | Professional | TC · Technical part | $30.90 | $45.71 | $81.28 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.88 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $12.88 | $39.81 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $89.13 Typical High $269.15 | Facility | None | $64.57 | $89.13 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $47.86 | $81.28 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $22.91 Typical High $35.48 | Professional | 26 · Professional part | $14.79 | $22.91 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $54.95 Typical High $112.20 | Professional | TC · Technical part | $33.88 | $54.95 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $141.25 | Professional | None | $61.66 | $81.28 | $141.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $48.98 | Professional | 26 · Professional part | $14.45 | $19.05 | $48.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $61.66 Typical High $141.25 | Professional | TC · Technical part | $46.77 | $61.66 | $141.25 |
Oscar Health Setting Facility Modifier None Typical Low $67.61 Median $81.28 Typical High $707.95 | Facility | None | $67.61 | $81.28 | $707.95 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $14.45 Median $52.48 Typical High $93.33 | Professional | None (both parts) | $14.45 | $52.48 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $66.07 Typical High $120.23 | Professional | None (both parts) | $46.77 | $66.07 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $32.36 | Professional | 26 · Professional part | $13.80 | $19.50 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $91.20 | Professional | TC · Technical part | $33.11 | $47.86 | $91.20 |
4 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 $19.50 Median $22.39 Typical High $26.30 | Professional | 52 · Reduced service | $19.50 | $22.39 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.91 Typical High $10.47 | Professional | 53 · Discontinued | $7.76 | $8.91 | $10.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $36.31 Typical High $39.81 | Professional | FX · Film X-ray | $31.62 | $36.31 | $39.81 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 59 · Distinct service | $107.15 | $107.15 | $107.15 |
Where Georgia sits
The same service costs 4.8 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
$58.88
AK $158UT $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.