How much rates vary
Facilitymedian $48 · 10th to 90th $26 to $85Professionalmedian $36 · 10th to 90th $25 to $69
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 $23.99 Median $27.54 Typical High $32.36 | Facility | None | $23.99 | $27.54 | $32.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $35.48 | Facility | TC · Technical part | $17.78 | $20.89 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $79.43 | Professional | None (both parts) | $26.30 | $31.62 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.13 Typical High $20.89 | Professional | 26 · Professional part | $6.76 | $8.13 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $56.23 | Professional | TC · Technical part | $19.05 | $22.91 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $27.54 Median $44.67 Typical High $63.10 | Professional | None (both parts) | $27.54 | $44.67 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.23 Typical High $15.14 | Professional | 26 · Professional part | $6.46 | $10.23 | $15.14 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $64.57 Median $95.50 Typical High $95.50 | Professional | 50 · Both sides | $64.57 | $95.50 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $42.66 Typical High $85.11 | Facility | None | $26.30 | $42.66 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $24.55 Median $36.31 Typical High $63.10 | Professional | None (both parts) | $24.55 | $36.31 | $63.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.47 Typical High $16.60 | Professional | 26 · Professional part | $7.41 | $10.47 | $16.60 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $41.69 Median $54.95 Typical High $97.72 | Professional | 50 · Both sides | $41.69 | $54.95 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $17.78 | $26.92 | $44.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.59 Median $23.99 Typical High $38.90 | Professional | None (both parts) | $7.59 | $23.99 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $53.70 Typical High $229.09 | Facility | None | $37.15 | $53.70 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $46.77 Typical High $89.13 | Professional | None (both parts) | $28.18 | $46.77 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.88 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $12.88 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $31.62 Typical High $67.61 | Professional | TC · Technical part | $19.50 | $31.62 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $74.13 | Professional | None | $36.31 | $47.86 | $74.13 |
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 $26.30 Median $33.88 Typical High $74.13 | Professional | TC · Technical part | $26.30 | $33.88 | $74.13 |
Oscar Health Setting Facility Modifier None Typical Low $199.53 Median $245.47 Typical High $245.47 | Facility | None | $199.53 | $245.47 | $245.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.12 Median $32.36 Typical High $53.70 | Professional | None (both parts) | $9.12 | $32.36 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $39.81 Typical High $72.44 | Professional | None (both parts) | $25.70 | $39.81 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $11.48 Typical High $19.05 | Professional | 26 · Professional part | $7.24 | $11.48 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $28.84 Typical High $54.95 | Professional | TC · Technical part | $18.62 | $28.84 | $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 $15.85 | 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 $19.50 Median $22.39 Typical High $23.99 | Professional | FX · Film X-ray | $19.50 | $22.39 | $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· 28th 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.