How much rates vary
Facilitymedian $51 · 10th to 90th $29 to $107Professionalmedian $37 · 10th to 90th $26 to $72
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 $29.51 Typical High $41.69 | Facility | None | $28.18 | $29.51 | $41.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $12.30 | Facility | 26 · Professional part | $7.08 | $7.94 | $12.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $34.67 | Facility | TC · Technical part | $20.42 | $22.91 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $77.62 | Professional | None (both parts) | $28.18 | $33.88 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.32 Typical High $22.39 | Professional | 26 · Professional part | $6.92 | $8.32 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $58.88 | Professional | TC · Technical part | $20.89 | $25.12 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $61.66 | Professional | None (both parts) | $26.30 | $32.36 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $11.75 Typical High $15.49 | Professional | 26 · Professional part | $6.76 | $11.75 | $15.49 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $64.57 Typical High $100.00 | Professional | 50 · Both sides | $39.81 | $64.57 | $100.00 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $19.95 | $42.66 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $45.71 Typical High $89.13 | Facility | None | $28.84 | $45.71 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $25.70 | $37.15 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $17.38 | Professional | 26 · Professional part | $7.76 | $10.47 | $17.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $42.66 Median $57.54 Typical High $104.71 | Professional | 50 · Both sides | $42.66 | $57.54 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.18 Typical High $48.98 | Professional | TC · Technical part | $19.50 | $28.18 | $48.98 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.94 Median $25.70 Typical High $41.69 | Professional | None (both parts) | $7.94 | $25.70 | $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 $30.20 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $30.20 | $51.29 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.88 Typical High $22.91 | Professional | 26 · Professional part | $8.32 | $12.88 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $35.48 Typical High $72.44 | Professional | TC · Technical part | $21.38 | $35.48 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $81.28 | Professional | None | $38.02 | $50.12 | $81.28 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.75 Typical High $31.62 | Professional | 26 · Professional part | $8.91 | $11.75 | $31.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $81.28 | Professional | TC · Technical part | $28.18 | $37.15 | $81.28 |
Oscar Health Setting Facility Modifier None Typical Low $93.33 Median $144.54 Typical High $1,096.48 | Facility | None | $93.33 | $144.54 | $1,096.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $33.88 Typical High $57.54 | Professional | None (both parts) | $8.91 | $33.88 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $27.54 | $42.66 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.75 Typical High $19.50 | Professional | 26 · Professional part | $7.94 | $11.75 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $30.90 Typical High $58.88 | Professional | TC · Technical part | $19.50 | $30.90 | $58.88 |
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 $5.13 Median $5.89 Typical High $6.61 | Professional | 53 · Discontinued | $5.13 | $5.89 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $23.44 Typical High $25.70 | Professional | FX · Film X-ray | $20.42 | $23.44 | $25.70 |
Where Georgia sits
The same service costs 15.1 times more in Vermont 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
VT $407FL $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.