How much rates vary
Facilitymedian $148 · 10th to 90th $76 to $269Professionalmedian $105 · 10th to 90th $71 to $209
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 $79.43 Median $83.18 Typical High $128.82 | Facility | None | $79.43 | $83.18 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $239.88 | Professional | None (both parts) | $72.44 | $87.10 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.78 Typical High $48.98 | Professional | 26 · Professional part | $14.79 | $17.78 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $190.55 | Professional | TC · Technical part | $57.54 | $69.18 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $162.18 | $173.78 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $28.18 Typical High $33.88 | Professional | 26 · Professional part | $16.22 | $28.18 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $128.82 Typical High $269.15 | Facility | None | $74.13 | $128.82 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $69.18 | $104.71 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $38.90 | Professional | 26 · Professional part | $17.38 | $23.44 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $79.43 Typical High $141.25 | Professional | TC · Technical part | $52.48 | $79.43 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $165.96 Typical High $316.23 | Facility | None | $109.65 | $165.96 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $125.89 Typical High $257.04 | Professional | None (both parts) | $77.62 | $125.89 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $18.62 | $29.51 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $204.17 | Professional | TC · Technical part | $57.54 | $97.72 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $194.98 | Professional | None | $97.72 | $128.82 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $54.95 | Professional | 26 · Professional part | $19.95 | $26.30 | $54.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $194.98 | Professional | TC · Technical part | $74.13 | $95.50 | $194.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $114.82 Typical High $147.91 | Professional | None (both parts) | $28.84 | $114.82 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $72.44 | $109.65 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $43.65 | Professional | 26 · Professional part | $17.38 | $25.12 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $54.95 | $87.10 | $165.96 |
5 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 $36.31 Median $41.69 Typical High $46.77 | Professional | 52 · Reduced service | $36.31 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $14.45 | $16.60 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $67.61 Typical High $70.79 | Professional | FX · Film X-ray | $57.54 | $67.61 | $70.79 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 59 · Distinct service | $173.78 | $173.78 | $173.78 |
Where Georgia sits
The same service costs 4.0 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· 24th of 51
$105
AK $263UT $66.07
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.