How much rates vary
Facilitymedian $50 · 10th to 90th $28 to $85Professionalmedian $37 · 10th to 90th $26 to $72
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 $28.18 Median $28.18 Typical High $58.88 | Facility | None | $28.18 | $28.18 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $29.51 Typical High $85.11 | Professional | None (both parts) | $26.30 | $29.51 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.94 Typical High $21.88 | Professional | 26 · Professional part | $6.61 | $7.94 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $61.66 | Professional | TC · Technical part | $19.50 | $21.88 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $27.54 Median $56.23 Typical High $66.07 | Professional | None (both parts) | $27.54 | $56.23 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | 26 · Professional part | $13.49 | $13.49 | $16.22 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | TC · Technical part | $42.66 | $42.66 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $41.69 Typical High $85.11 | Facility | None | $26.30 | $41.69 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $37.15 Typical High $64.57 | Professional | None (both parts) | $25.70 | $37.15 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $17.38 | Professional | 26 · Professional part | $7.76 | $10.72 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.92 Typical High $45.71 | Professional | TC · Technical part | $18.62 | $26.92 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $54.95 Typical High $269.15 | Facility | None | $38.90 | $54.95 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $48.98 Typical High $91.20 | Professional | None (both parts) | $29.51 | $48.98 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.18 Typical High $21.88 | Professional | 26 · Professional part | $8.51 | $13.18 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $33.11 Typical High $69.18 | Professional | TC · Technical part | $20.42 | $33.11 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $48.98 Typical High $79.43 | Professional | None | $38.02 | $48.98 | $79.43 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $25.70 | Professional | 26 · Professional part | $9.33 | $12.30 | $25.70 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $79.43 | Professional | TC · Technical part | $27.54 | $36.31 | $79.43 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $31.62 Typical High $57.54 | Professional | None (both parts) | $9.12 | $31.62 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $75.86 | Professional | None (both parts) | $26.92 | $39.81 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.75 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $11.75 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $28.84 Typical High $56.23 | Professional | TC · Technical part | $19.05 | $28.84 | $56.23 |
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 $12.30 Median $14.13 Typical High $15.85 | Professional | 52 · Reduced service | $12.30 | $14.13 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.62 Typical High $6.31 | Professional | 53 · Discontinued | $4.90 | $5.62 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $22.39 Typical High $24.55 | Professional | FX · Film X-ray | $19.50 | $22.39 | $24.55 |
Where Georgia sits
The same service costs 3.7 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· 29th of 51
$37.15
AK $95.50FL $25.70
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.