How much rates vary
Facilitymedian $32 · 10th to 90th $18 to $49Professionalmedian $25 · 10th to 90th $15 to $48
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 $18.20 Median $18.20 Typical High $34.67 | Facility | None | $18.20 | $18.20 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $21.38 Typical High $56.23 | Professional | None (both parts) | $17.78 | $21.38 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.24 Typical High $20.89 | Professional | 26 · Professional part | $6.31 | $7.24 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $14.13 Typical High $37.15 | Professional | TC · Technical part | $11.22 | $14.13 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $16.98 Median $30.20 Typical High $42.66 | Professional | None (both parts) | $16.98 | $30.20 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.08 Typical High $14.13 | Professional | 26 · Professional part | $6.31 | $7.08 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $31.62 Typical High $48.98 | Facility | None | $18.20 | $31.62 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $15.14 Median $23.99 Typical High $43.65 | Professional | None (both parts) | $15.14 | $23.99 | $43.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.55 Typical High $14.79 | Professional | 26 · Professional part | $6.92 | $9.55 | $14.79 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $31.62 Median $41.69 Typical High $72.44 | Professional | 50 · Both sides | $31.62 | $41.69 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $19.05 Typical High $33.11 | Professional | TC · Technical part | $13.80 | $19.05 | $33.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.41 Median $13.80 Typical High $26.92 | Professional | None (both parts) | $7.41 | $13.80 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $31.62 Typical High $229.09 | Facility | None | $21.88 | $31.62 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $35.48 Typical High $58.88 | Professional | None (both parts) | $21.88 | $35.48 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $7.59 | $12.02 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.91 Typical High $38.90 | Professional | TC · Technical part | $15.14 | $22.91 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $70.79 | Professional | None | $24.55 | $32.36 | $70.79 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.72 Typical High $22.39 | Professional | 26 · Professional part | $8.13 | $10.72 | $22.39 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.38 Typical High $63.10 | Professional | TC · Technical part | $16.22 | $21.38 | $63.10 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.13 Median $19.95 Typical High $35.48 | Professional | None (both parts) | $8.13 | $19.95 | $35.48 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.20 Typical High $50.12 | Professional | None (both parts) | $21.38 | $30.20 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $17.78 | Professional | 26 · Professional part | $6.92 | $10.23 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $19.95 Typical High $33.11 | Professional | TC · Technical part | $13.80 | $19.95 | $33.11 |
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 $8.13 Median $9.12 Typical High $10.72 | Professional | 52 · Reduced service | $8.13 | $9.12 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.72 Typical High $4.27 | Professional | 53 · Discontinued | $3.24 | $3.72 | $4.27 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.88 Median $14.79 Typical High $16.22 | Professional | FX · Film X-ray | $12.88 | $14.79 | $16.22 |
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· 36th of 51
$24.55
AK $64.57FL $17.38
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.