How much rates vary
Facilitymedian $45 · 10th to 90th $17 to $91Professionalmedian $36 · 10th to 90th $12 to $89
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 $30.90 Median $36.31 Typical High $54.95 | Facility | None | $30.90 | $36.31 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $36.31 Typical High $112.20 | Professional | None (both parts) | $30.90 | $36.31 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.49 Typical High $38.02 | Professional | 26 · Professional part | $12.02 | $13.49 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $67.61 | Professional | TC · Technical part | $19.05 | $22.91 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $25.12 Typical High $28.18 | Professional | 26 · Professional part | $12.59 | $25.12 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $41.69 Typical High $91.20 | Facility | None | $15.85 | $41.69 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.72 Median $33.11 Typical High $75.86 | Professional | None (both parts) | $10.72 | $33.11 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.79 Typical High $30.90 | Professional | 26 · Professional part | $9.55 | $14.79 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $28.84 Typical High $56.23 | Professional | TC · Technical part | $15.14 | $28.84 | $56.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.14 Median $27.54 Typical High $53.70 | Professional | None (both parts) | $15.14 | $27.54 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $60.26 Typical High $316.23 | Facility | None | $43.65 | $60.26 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $36.31 Typical High $117.49 | Professional | None (both parts) | $16.98 | $36.31 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $15.85 Typical High $40.74 | Professional | 26 · Professional part | $8.32 | $15.85 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $20.42 Typical High $75.86 | Professional | TC · Technical part | $8.51 | $20.42 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $56.23 Typical High $77.62 | Professional | None | $43.65 | $56.23 | $77.62 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.95 Typical High $26.30 | Professional | 26 · Professional part | $14.79 | $19.95 | $26.30 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $35.48 Typical High $67.61 | Professional | TC · Technical part | $28.84 | $35.48 | $67.61 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.85 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $15.85 | $39.81 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $43.65 Typical High $97.72 | Professional | None (both parts) | $22.39 | $43.65 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $16.22 Typical High $36.31 | Professional | 26 · Professional part | $7.94 | $16.22 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $28.18 Typical High $61.66 | Professional | TC · Technical part | $13.49 | $28.18 | $61.66 |
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 $15.85 Median $17.78 Typical High $20.42 | Professional | 52 · Reduced service | $15.85 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.24 Typical High $8.13 | Professional | 53 · Discontinued | $6.31 | $7.24 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $28.84 Typical High $31.62 | Professional | FX · Film X-ray | $25.12 | $28.84 | $31.62 |
Where Georgia sits
The same service costs 9.3 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· 39th of 51
$36.31
AK $123NY $13.18
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.