How much rates vary
Facilitymedian $63 · 10th to 90th $42 to $117Professionalmedian $56 · 10th to 90th $38 to $107
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 $37.15 Median $42.66 Typical High $64.57 | Facility | None | $37.15 | $42.66 | $64.57 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.30 Median $13.49 Typical High $22.91 | Facility | 26 · Professional part | $12.30 | $13.49 | $22.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $43.65 | Facility | TC · Technical part | $26.92 | $29.51 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $47.86 Typical High $120.23 | Professional | None (both parts) | $40.74 | $47.86 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.14 Typical High $42.66 | Professional | 26 · Professional part | $13.18 | $15.14 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $85.11 | Professional | TC · Technical part | $27.54 | $32.36 | $85.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $87.10 Typical High $95.50 | Professional | None (both parts) | $58.88 | $87.10 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $20.42 Typical High $28.18 | Professional | 26 · Professional part | $12.88 | $20.42 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $63.10 Typical High $117.49 | Facility | None | $41.69 | $63.10 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $56.23 Typical High $100.00 | Professional | None (both parts) | $37.15 | $56.23 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.95 Typical High $31.62 | Professional | 26 · Professional part | $14.45 | $19.95 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.90 Typical High $61.66 | Professional | TC · Technical part | $27.54 | $38.90 | $61.66 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.49 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $15.49 | $33.88 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $269.15 | Facility | None | $52.48 | $77.62 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $75.86 Typical High $138.04 | Professional | None (both parts) | $44.67 | $75.86 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $15.49 | $24.55 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $48.98 Typical High $95.50 | Professional | TC · Technical part | $29.51 | $48.98 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $123.03 | Professional | None | $54.95 | $72.44 | $123.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $64.57 | Professional | 26 · Professional part | $16.98 | $21.88 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $50.12 Typical High $123.03 | Professional | TC · Technical part | $38.90 | $50.12 | $123.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $16.22 Median $46.77 Typical High $91.20 | Professional | None (both parts) | $16.22 | $46.77 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $41.69 | $63.10 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $21.38 Typical High $36.31 | Professional | 26 · Professional part | $14.13 | $21.38 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $41.69 Typical High $77.62 | Professional | TC · Technical part | $26.92 | $41.69 | $77.62 |
4 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 $18.62 Median $21.38 Typical High $23.99 | Professional | 52 · Reduced service | $18.62 | $21.38 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.51 Typical High $9.77 | Professional | 53 · Discontinued | $7.41 | $8.51 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $33.88 Typical High $37.15 | Professional | FX · Film X-ray | $29.51 | $33.88 | $37.15 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 59 · Distinct service | $75.86 | $75.86 | $75.86 |
Where Georgia sits
The same service costs 4.5 times more in Alaska 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
$56.23
AK $148UT $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.