How much rates vary
Facilitymedian $170 · 10th to 90th $95 to $295Professionalmedian $138 · 10th to 90th $91 to $263
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 $93.33 Median $107.15 Typical High $177.83 | Facility | None | $93.33 | $107.15 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $323.59 | Professional | None (both parts) | $93.33 | $112.20 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $102.33 | Professional | 26 · Professional part | $30.90 | $36.31 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $213.80 | Professional | TC · Technical part | $63.10 | $77.62 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $31.62 | $52.48 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $158.49 Typical High $295.12 | Facility | None | $91.20 | $158.49 | $295.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $85.11 | $138.04 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $42.66 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $95.50 Typical High $165.96 | Professional | TC · Technical part | $61.66 | $95.50 | $165.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $38.02 | $81.28 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $269.15 | Facility | None | $128.82 | $186.21 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $104.71 | $165.96 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $35.48 | $57.54 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $70.79 | $117.49 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $257.04 | Professional | None | $128.82 | $169.82 | $257.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $54.95 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $257.04 | Professional | TC · Technical part | $85.11 | $112.20 | $257.04 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $42.66 | $114.82 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $97.72 | $147.91 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $50.12 Typical High $91.20 | Professional | 26 · Professional part | $33.11 | $50.12 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $64.57 | $104.71 | $186.21 |
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 $46.77 Median $53.70 Typical High $60.26 | Professional | 52 · Reduced service | $46.77 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.38 Typical High $23.99 | Professional | 53 · Discontinued | $18.62 | $21.38 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $85.11 Typical High $91.20 | Professional | FX · Film X-ray | $75.86 | $85.11 | $91.20 |
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· 29th of 51
$138
AK $363FL $97.72
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.