How much rates vary
Facilitymedian $166 · 10th to 90th $87 to $309Professionalmedian $115 · 10th to 90th $78 to $234
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 $91.20 Median $91.20 Typical High $95.50 | Facility | None | $91.20 | $91.20 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $257.04 | Professional | None (both parts) | $77.62 | $91.20 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $43.65 | Professional | 26 · Professional part | $12.30 | $14.13 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $213.80 | Professional | TC · Technical part | $66.07 | $77.62 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.70 Typical High $72.44 | Professional | 26 · Professional part | $23.99 | $25.70 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $147.91 Typical High $309.03 | Facility | None | $85.11 | $147.91 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $75.86 | $114.82 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $20.42 Typical High $33.11 | Professional | 26 · Professional part | $14.79 | $20.42 | $33.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $61.66 | $93.33 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $194.98 Typical High $316.23 | Facility | None | $138.04 | $194.98 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $87.10 | $141.25 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.12 Typical High $41.69 | Professional | 26 · Professional part | $16.22 | $25.12 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $117.49 Typical High $239.88 | Professional | TC · Technical part | $69.18 | $117.49 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $218.78 | Professional | None | $107.15 | $144.54 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $47.86 | Professional | 26 · Professional part | $17.38 | $22.91 | $47.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $91.20 | $117.49 | $218.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $16.98 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $16.98 | $97.72 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $79.43 | $120.23 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.88 Typical High $37.15 | Professional | 26 · Professional part | $15.14 | $21.88 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $100.00 Typical High $194.98 | Professional | TC · Technical part | $66.07 | $100.00 | $194.98 |
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 $38.90 Median $44.67 Typical High $51.29 | Professional | 52 · Reduced service | $38.90 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $18.20 Typical High $20.42 | Professional | 53 · Discontinued | $15.49 | $18.20 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $72.44 Typical High $75.86 | Professional | FX · Film X-ray | $61.66 | $72.44 | $75.86 |
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· 23rd of 51
$117
AK $288NY $75.86
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.