How much rates vary
Facilitymedian $135 · 10th to 90th $81 to $240Professionalmedian $107 · 10th to 90th $72 to $214
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 $75.86 Median $87.10 Typical High $134.90 | Facility | None | $75.86 | $87.10 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $100.00 | Facility | TC · Technical part | $57.54 | $61.66 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $93.33 Typical High $239.88 | Professional | None (both parts) | $81.28 | $93.33 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $72.44 | Professional | 26 · Professional part | $23.44 | $28.18 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $173.78 | Professional | TC · Technical part | $54.95 | $63.10 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $74.13 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $46.77 Typical High $53.70 | Professional | 26 · Professional part | $25.12 | $46.77 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $131.83 Typical High $239.88 | Facility | None | $77.62 | $131.83 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $69.18 | $107.15 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $21.38 | $31.62 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $77.62 Typical High $141.25 | Professional | TC · Technical part | $47.86 | $77.62 | $141.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.18 Median $66.07 Typical High $117.49 | Professional | None (both parts) | $28.18 | $66.07 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $151.36 Typical High $269.15 | Facility | None | $102.33 | $151.36 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $83.18 | $131.83 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $25.12 | $40.74 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $57.54 | $95.50 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $199.53 | Professional | None | $95.50 | $128.82 | $199.53 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $40.74 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $190.55 | Professional | TC · Technical part | $67.61 | $87.10 | $190.55 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $30.20 | $87.10 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $75.86 | $117.49 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $22.39 | $35.48 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $53.70 | $87.10 | $151.36 |
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 $38.02 Median $43.65 Typical High $47.86 | Professional | 52 · Reduced service | $38.02 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.38 Typical High $19.05 | Professional | 53 · Discontinued | $15.14 | $17.38 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $69.18 Typical High $74.13 | Professional | FX · Film X-ray | $60.26 | $69.18 | $74.13 |
Where Georgia sits
The same service costs 3.8 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· 28th of 51
$107
AK $282UT $74.13
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.