How much rates vary
Facilitymedian $51 · 10th to 90th $29 to $89Professionalmedian $38 · 10th to 90th $25 to $74
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 $28.84 Typical High $41.69 | Facility | None | $28.18 | $28.84 | $41.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $7.24 Typical High $11.22 | Facility | 26 · Professional part | $7.08 | $7.24 | $11.22 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $21.88 Typical High $33.88 | Facility | TC · Technical part | $20.89 | $21.88 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $83.18 | Professional | None (both parts) | $27.54 | $33.11 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $21.88 | Professional | 26 · Professional part | $6.76 | $8.32 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $60.26 | Professional | TC · Technical part | $20.42 | $24.55 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $43.65 Typical High $67.61 | Professional | None (both parts) | $26.92 | $43.65 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $13.49 Typical High $15.49 | Professional | 26 · Professional part | $7.08 | $13.49 | $15.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $34.67 Typical High $43.65 | Professional | TC · Technical part | $25.70 | $34.67 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $45.71 Typical High $89.13 | Facility | None | $26.92 | $45.71 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.44 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $23.44 | $38.02 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $17.38 | Professional | 26 · Professional part | $7.59 | $10.72 | $17.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $40.74 Median $57.54 Typical High $102.33 | Professional | 50 · Both sides | $40.74 | $57.54 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $19.95 | $28.84 | $47.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.94 Median $25.12 Typical High $41.69 | Professional | None (both parts) | $7.94 | $25.12 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $57.54 Typical High $229.09 | Facility | None | $39.81 | $57.54 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $47.86 Typical High $93.33 | Professional | None (both parts) | $28.84 | $47.86 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.18 Typical High $21.88 | Professional | 26 · Professional part | $8.32 | $13.18 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $33.88 Typical High $70.79 | Professional | TC · Technical part | $20.42 | $33.88 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $74.13 | Professional | None | $38.90 | $50.12 | $74.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $22.39 | Professional | 26 · Professional part | $9.33 | $12.30 | $22.39 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $34.67 Typical High $74.13 | Professional | TC · Technical part | $26.30 | $34.67 | $74.13 |
Oscar Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,137.96 | Facility | None | $1,288.25 | $1,288.25 | $2,137.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $9.12 | $33.11 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $40.74 Typical High $77.62 | Professional | None (both parts) | $26.30 | $40.74 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $11.48 Typical High $19.50 | Professional | 26 · Professional part | $7.24 | $11.48 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $29.51 Typical High $57.54 | Professional | TC · Technical part | $19.50 | $29.51 | $57.54 |
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 $12.59 Median $14.45 Typical High $16.60 | Professional | 52 · Reduced service | $12.59 | $14.45 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.75 Typical High $6.61 | Professional | 53 · Discontinued | $5.01 | $5.75 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $22.91 Typical High $25.12 | Professional | FX · Film X-ray | $19.95 | $22.91 | $25.12 |
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· 28th of 51
$38.02
AK $100FL $26.92
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.