How much rates vary
Facilitymedian $115 · 10th to 90th $69 to $219Professionalmedian $126 · 10th to 90th $25 to $269
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 $60.26 Median $67.61 Typical High $67.61 | Facility | None | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $67.61 Typical High $177.83 | Professional | None (both parts) | $60.26 | $67.61 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $95.50 | Professional | 26 · Professional part | $21.88 | $24.55 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $117.49 | Professional | TC · Technical part | $38.02 | $44.67 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $42.66 | $46.77 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $123.03 Typical High $181.97 | Facility | None | $79.43 | $123.03 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $24.55 Median $125.89 Typical High $204.17 | Professional | None (both parts) | $24.55 | $125.89 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $24.55 | $34.67 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $81.28 Typical High $162.18 | Professional | TC · Technical part | $51.29 | $81.28 | $162.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $331.13 | Facility | None | $69.18 | $69.18 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $97.72 | $138.04 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $47.86 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $63.10 | $85.11 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $269.15 Typical High $380.19 | Professional | None | $74.13 | $269.15 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $89.13 | Professional | 26 · Professional part | $24.55 | $30.90 | $89.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $173.78 Typical High $380.19 | Professional | TC · Technical part | $48.98 | $173.78 | $380.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $69.18 Typical High $213.80 | Professional | None (both parts) | $25.12 | $69.18 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $147.91 | $234.42 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $39.81 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $186.21 Typical High $309.03 | Professional | TC · Technical part | $114.82 | $186.21 | $309.03 |
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 $29.51 Median $33.88 Typical High $39.81 | Professional | 52 · Reduced service | $29.51 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.49 Typical High $15.85 | Professional | 53 · Discontinued | $11.75 | $13.49 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $54.95 Typical High $58.88 | Professional | FX · Film X-ray | $46.77 | $54.95 | $58.88 |
Where Georgia sits
The same service costs 6.6 times more in Nebraska 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· 27th of 51
$126
NE $363FL $54.95
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.