How much rates vary
Facilitymedian $44 · 10th to 90th $24 to $166Professionalmedian $32 · 10th to 90th $23 to $62
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 $23.44 Median $23.99 Typical High $39.81 | Facility | None | $23.44 | $23.99 | $39.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $12.02 | Facility | 26 · Professional part | $6.46 | $6.46 | $12.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $17.78 Typical High $30.90 | Facility | TC · Technical part | $16.98 | $17.78 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.84 Typical High $69.18 | Professional | None (both parts) | $22.91 | $28.84 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.76 Typical High $19.95 | Professional | 26 · Professional part | $6.31 | $7.76 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.89 Typical High $48.98 | Professional | TC · Technical part | $16.98 | $20.89 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $37.15 Typical High $56.23 | Professional | None (both parts) | $22.39 | $37.15 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $11.22 Typical High $14.45 | Professional | 26 · Professional part | $6.46 | $11.22 | $14.45 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $37.15 Median $72.44 Typical High $162.18 | Professional | 50 · Both sides | $37.15 | $72.44 | $162.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $40.74 | Professional | TC · Technical part | $28.18 | $36.31 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $38.90 Typical High $72.44 | Facility | None | $25.12 | $38.90 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.91 Median $31.62 Typical High $57.54 | Professional | None (both parts) | $22.91 | $31.62 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.55 Typical High $16.60 | Professional | 26 · Professional part | $7.24 | $9.55 | $16.60 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $47.86 Typical High $87.10 | Professional | 50 · Both sides | $38.02 | $47.86 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.99 Typical High $43.65 | Professional | TC · Technical part | $16.98 | $23.99 | $43.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.41 Median $20.42 Typical High $34.67 | Professional | None (both parts) | $7.41 | $20.42 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $46.77 Typical High $229.09 | Facility | None | $32.36 | $46.77 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $25.70 | $42.66 | $77.62 |
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 $18.20 Median $29.51 Typical High $57.54 | Professional | TC · Technical part | $18.20 | $29.51 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $74.13 | Professional | None | $32.36 | $41.69 | $74.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.22 Typical High $22.39 | Professional | 26 · Professional part | $8.51 | $11.22 | $22.39 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $74.13 | Professional | TC · Technical part | $23.44 | $30.90 | $74.13 |
Oscar Health Setting Facility Modifier None Typical Low $151.36 Median $194.98 Typical High $2,137.96 | Facility | None | $151.36 | $194.98 | $2,137.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.51 Median $28.84 Typical High $48.98 | Professional | None (both parts) | $8.51 | $28.84 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $36.31 Typical High $64.57 | Professional | None (both parts) | $25.12 | $36.31 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.96 Typical High $17.78 | Professional | 26 · Professional part | $7.24 | $10.96 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $25.70 Typical High $46.77 | Professional | TC · Technical part | $17.78 | $25.70 | $46.77 |
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 $10.47 Median $12.02 Typical High $13.80 | Professional | 52 · Reduced service | $10.47 | $12.02 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.79 Typical High $5.50 | Professional | 53 · Discontinued | $4.27 | $4.79 | $5.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.98 Median $19.50 Typical High $21.38 | Professional | FX · Film X-ray | $16.98 | $19.50 | $21.38 |
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· 30th of 51
$32.36
AK $83.18FL $22.39
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.