How much rates vary
Facilitymedian $45 · 10th to 90th $27 to $83Professionalmedian $36 · 10th to 90th $25 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 $25.12 Median $27.54 Typical High $42.66 | Facility | None | $25.12 | $27.54 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $20.42 Typical High $31.62 | Facility | TC · Technical part | $19.50 | $20.42 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $74.13 | Professional | None (both parts) | $25.70 | $30.90 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.13 Typical High $21.88 | Professional | 26 · Professional part | $6.76 | $8.13 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $53.70 | Professional | TC · Technical part | $18.62 | $22.39 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $52.48 Typical High $64.57 | Professional | None (both parts) | $28.84 | $52.48 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.94 Typical High $15.14 | Professional | 26 · Professional part | $6.92 | $7.94 | $15.14 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $69.18 Median $87.10 Typical High $87.10 | Professional | 50 · Both sides | $69.18 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $33.88 Typical High $43.65 | Professional | TC · Technical part | $19.50 | $33.88 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $40.74 Typical High $83.18 | Facility | None | $26.30 | $40.74 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $24.55 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $24.55 | $35.48 | $63.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.47 Typical High $16.60 | Professional | 26 · Professional part | $7.24 | $10.47 | $16.60 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $40.74 Median $54.95 Typical High $100.00 | Professional | 50 · Both sides | $40.74 | $54.95 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.92 Typical High $45.71 | Professional | TC · Technical part | $18.20 | $26.92 | $45.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.94 Median $23.99 Typical High $39.81 | Professional | None (both parts) | $7.94 | $23.99 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $229.09 | Facility | None | $38.90 | $53.70 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $46.77 Typical High $89.13 | Professional | None (both parts) | $28.84 | $46.77 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.88 Typical High $21.88 | Professional | 26 · Professional part | $8.13 | $12.88 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $32.36 Typical High $67.61 | Professional | TC · Technical part | $19.95 | $32.36 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $48.98 Typical High $77.62 | Professional | None | $37.15 | $48.98 | $77.62 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.75 Typical High $22.39 | Professional | 26 · Professional part | $8.91 | $11.75 | $22.39 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $77.62 | Professional | TC · Technical part | $27.54 | $36.31 | $77.62 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $9.12 | $33.11 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.90 Typical High $74.13 | Professional | None (both parts) | $26.30 | $38.90 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $11.22 Typical High $19.50 | Professional | 26 · Professional part | $7.24 | $11.22 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $28.18 Typical High $54.95 | Professional | TC · Technical part | $19.05 | $28.18 | $54.95 |
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 $15.49 | Professional | 52 · Reduced service | $12.02 | $13.80 | $15.49 |
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 6.0 times more in Vermont 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
VT $155FL $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.