How much rates vary
Facilitymedian $69 · 10th to 90th $38 to $115Professionalmedian $49 · 10th to 90th $37 to $100
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 $33.11 Median $38.02 Typical High $44.67 | Facility | None | $33.11 | $38.02 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $40.74 Typical High $114.82 | Professional | None (both parts) | $35.48 | $40.74 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $31.62 | Professional | 26 · Professional part | $9.55 | $10.72 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.84 Typical High $81.28 | Professional | TC · Technical part | $23.44 | $28.84 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $34.67 | $34.67 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $10.96 | $21.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $64.57 Typical High $112.20 | Facility | None | $40.74 | $64.57 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $48.98 Typical High $91.20 | Professional | None (both parts) | $38.02 | $48.98 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.49 Typical High $23.99 | Professional | 26 · Professional part | $10.00 | $13.49 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $30.20 | $37.15 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $269.15 | Facility | None | $50.12 | $72.44 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $69.18 Typical High $123.03 | Professional | None (both parts) | $39.81 | $69.18 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $17.78 Typical High $31.62 | Professional | 26 · Professional part | $10.96 | $17.78 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $50.12 Typical High $89.13 | Professional | TC · Technical part | $28.84 | $50.12 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $128.82 | Professional | None | $48.98 | $64.57 | $128.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $31.62 | Professional | 26 · Professional part | $12.59 | $16.60 | $31.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $120.23 | Professional | TC · Technical part | $36.31 | $47.86 | $120.23 |
Oscar Health Setting Facility Modifier None Typical Low $123.03 Median $141.25 Typical High $181.97 | Facility | None | $123.03 | $141.25 | $181.97 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $12.30 Median $41.69 Typical High $74.13 | Professional | None (both parts) | $12.30 | $41.69 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $57.54 Typical High $102.33 | Professional | None (both parts) | $41.69 | $57.54 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.49 Typical High $28.18 | Professional | 26 · Professional part | $10.00 | $15.49 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $72.44 | Professional | TC · Technical part | $29.51 | $41.69 | $72.44 |
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 $16.60 Median $19.05 Typical High $21.88 | Professional | 52 · Reduced service | $16.60 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.59 Typical High $8.71 | Professional | 53 · Discontinued | $6.61 | $7.59 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $30.20 Typical High $33.11 | Professional | FX · Film X-ray | $26.30 | $30.20 | $33.11 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 59 · Distinct service | $85.11 | $85.11 | $85.11 |
Where Georgia sits
The same service costs 3.9 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· 32nd of 51
$50.12
AK $129UT $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.