How much rates vary
Facilitymedian $76 · 10th to 90th $40 to $331Professionalmedian $50 · 10th to 90th $35 to $105
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 $38.02 Median $39.81 Typical High $57.54 | Facility | None | $38.02 | $39.81 | $57.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $9.55 Typical High $14.45 | Facility | 26 · Professional part | $9.33 | $9.55 | $14.45 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $30.20 Typical High $58.88 | Facility | TC · Technical part | $28.84 | $30.20 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $114.82 | Professional | None (both parts) | $38.02 | $43.65 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.72 Typical High $28.84 | Professional | 26 · Professional part | $9.12 | $10.72 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $89.13 | Professional | TC · Technical part | $27.54 | $32.36 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $54.95 Typical High $95.50 | Professional | None (both parts) | $38.02 | $54.95 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $8.71 | $14.45 | $20.89 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $54.95 Typical High $64.57 | Professional | TC · Technical part | $37.15 | $54.95 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $70.79 Typical High $123.03 | Facility | None | $37.15 | $70.79 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $50.12 Typical High $100.00 | Professional | None (both parts) | $35.48 | $50.12 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.49 Typical High $22.91 | Professional | 26 · Professional part | $9.77 | $13.49 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $75.86 | Professional | TC · Technical part | $26.92 | $38.90 | $75.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.72 Median $38.90 Typical High $58.88 | Professional | None (both parts) | $10.72 | $38.90 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $81.28 Typical High $229.09 | Facility | None | $57.54 | $81.28 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $63.10 Typical High $128.82 | Professional | None (both parts) | $41.69 | $63.10 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.98 Typical High $29.51 | Professional | 26 · Professional part | $11.48 | $16.98 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $47.86 Typical High $100.00 | Professional | TC · Technical part | $30.90 | $47.86 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $57.54 Typical High $128.82 | Professional | None | $10.23 | $57.54 | $128.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $28.18 | Professional | 26 · Professional part | $10.23 | $12.88 | $28.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $44.67 Typical High $100.00 | Professional | TC · Technical part | $10.23 | $44.67 | $100.00 |
Oscar Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $6,165.95 | Facility | None | $1,288.25 | $1,621.81 | $6,165.95 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $11.75 Median $48.98 Typical High $83.18 | Professional | None (both parts) | $11.75 | $48.98 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $58.88 Typical High $107.15 | Professional | None (both parts) | $39.81 | $58.88 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.14 Typical High $25.70 | Professional | 26 · Professional part | $10.72 | $15.14 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $81.28 | Professional | TC · Technical part | $29.51 | $42.66 | $81.28 |
1 more rate 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 FX · Film X-ray Typical Low $27.54 Median $31.62 Typical High $33.88 | Professional | FX · Film X-ray | $27.54 | $31.62 | $33.88 |
Where Georgia sits
The same service costs 11.7 times more in Vermont than in Utah. 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
$50.12
VT $389UT $33.11
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.