How much rates vary
Facilitymedian $48 · 10th to 90th $26 to $83Professionalmedian $36 · 10th to 90th $26 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 $26.30 Median $27.54 Typical High $42.66 | Facility | None | $26.30 | $27.54 | $42.66 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $7.59 Typical High $12.88 | Facility | 26 · Professional part | $7.24 | $7.59 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $19.95 Typical High $34.67 | Facility | TC · Technical part | $19.05 | $19.95 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.20 Typical High $75.86 | Professional | None (both parts) | $26.30 | $30.20 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $22.39 | Professional | 26 · Professional part | $7.08 | $8.32 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $53.70 | Professional | TC · Technical part | $19.05 | $22.39 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $45.71 Typical High $63.10 | Professional | None (both parts) | $26.30 | $45.71 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.72 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $10.72 | $16.22 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $23.44 | $40.74 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $43.65 Typical High $83.18 | Facility | None | $25.70 | $43.65 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $36.31 Typical High $63.10 | Professional | None (both parts) | $26.92 | $36.31 | $63.10 |
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 $19.50 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $19.50 | $26.92 | $44.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.32 Median $23.99 Typical High $39.81 | Professional | None (both parts) | $8.32 | $23.99 | $39.81 |
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 $28.84 Median $47.86 Typical High $89.13 | Professional | None (both parts) | $28.84 | $47.86 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.49 Typical High $22.91 | Professional | 26 · Professional part | $8.71 | $13.49 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.11 Typical High $66.07 | Professional | TC · Technical part | $20.89 | $33.11 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $87.10 | Professional | None | $35.48 | $46.77 | $87.10 |
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 $26.30 Median $34.67 Typical High $87.10 | Professional | TC · Technical part | $26.30 | $34.67 | $87.10 |
Oscar Health Setting Facility Modifier None Typical Low $151.36 Median $660.69 Typical High $660.69 | Facility | None | $151.36 | $660.69 | $660.69 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $30.20 Typical High $54.95 | Professional | None (both parts) | $9.12 | $30.20 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $40.74 Typical High $74.13 | Professional | None (both parts) | $29.51 | $40.74 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.75 Typical High $20.42 | Professional | 26 · Professional part | $7.94 | $11.75 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.18 Typical High $53.70 | Professional | TC · Technical part | $20.89 | $28.18 | $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 $12.02 Median $13.80 Typical High $15.85 | Professional | 52 · Reduced service | $12.02 | $13.80 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.50 Typical High $6.31 | Professional | 53 · Discontinued | $4.79 | $5.50 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $21.88 Typical High $23.99 | Professional | FX · Film X-ray | $19.05 | $21.88 | $23.99 |
Where Georgia sits
The same service costs 3.8 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
$36.31
AK $95.50FL $25.12
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.