How much rates vary
Facilitymedian $66 · 10th to 90th $33 to $93Professionalmedian $47 · 10th to 90th $29 to $115
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 $33.88 Median $34.67 Typical High $34.67 | Facility | None | $33.88 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $107.15 | Professional | None (both parts) | $30.90 | $37.15 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $42.66 | Professional | 26 · Professional part | $12.59 | $14.45 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.91 Typical High $67.61 | Professional | TC · Technical part | $19.95 | $22.91 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $56.23 | $74.13 | $74.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $29.51 | Professional | 26 · Professional part | $24.55 | $25.12 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $67.61 Typical High $93.33 | Facility | None | $32.36 | $67.61 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $46.77 Typical High $114.82 | Professional | None (both parts) | $26.92 | $46.77 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.50 Typical High $35.48 | Professional | 26 · Professional part | $14.45 | $19.50 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $36.31 Typical High $91.20 | Professional | TC · Technical part | $23.99 | $36.31 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $57.54 Typical High $316.23 | Facility | None | $40.74 | $57.54 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $79.43 Typical High $131.83 | Professional | None (both parts) | $39.81 | $79.43 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $24.55 Typical High $40.74 | Professional | 26 · Professional part | $15.49 | $24.55 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $50.12 Typical High $89.13 | Professional | TC · Technical part | $22.91 | $50.12 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $158.49 | Professional | None | $46.77 | $61.66 | $158.49 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $46.77 | Professional | 26 · Professional part | $16.98 | $21.88 | $46.77 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $158.49 | Professional | TC · Technical part | $30.20 | $39.81 | $158.49 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $16.22 Median $38.90 Typical High $77.62 | Professional | None (both parts) | $16.22 | $38.90 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $38.90 | $67.61 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.89 Typical High $36.31 | Professional | 26 · Professional part | $14.45 | $20.89 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $41.69 Typical High $81.28 | Professional | TC · Technical part | $23.44 | $41.69 | $81.28 |
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 $15.49 Median $17.38 Typical High $20.42 | Professional | 52 · Reduced service | $15.49 | $17.38 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.92 Typical High $8.32 | Professional | 53 · Discontinued | $6.17 | $6.92 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $27.54 Typical High $30.90 | Professional | FX · Film X-ray | $24.55 | $27.54 | $30.90 |
Where Georgia sits
The same service costs 3.8 times more in Alaska than in New York. 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· 40th of 51
$46.77
AK $115NY $30.20
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.