How much rates vary
Facilitymedian $60 · 10th to 90th $35 to $115Professionalmedian $83 · 10th to 90th $46 to $158
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 $37.15 Median $41.69 Typical High $41.69 | Facility | None | $37.15 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $44.67 Typical High $158.49 | Professional | None (both parts) | $40.74 | $44.67 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $85.11 | Professional | 26 · Professional part | $25.70 | $28.84 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $16.22 Typical High $75.86 | Professional | TC · Technical part | $14.79 | $16.22 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $87.10 Typical High $95.50 | Professional | None (both parts) | $46.77 | $87.10 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $75.86 | Professional | 26 · Professional part | $50.12 | $69.18 | $75.86 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 50 · Both sides | $120.23 | $120.23 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $60.26 Typical High $114.82 | Facility | None | $35.48 | $60.26 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $83.18 Typical High $154.88 | Professional | None (both parts) | $45.71 | $83.18 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $29.51 | $42.66 | $75.86 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $75.86 Median $125.89 Typical High $229.09 | Professional | 50 · Both sides | $75.86 | $125.89 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $35.48 Typical High $66.07 | Professional | TC · Technical part | $18.20 | $35.48 | $66.07 |
CareSource Setting Professional Modifier None (both parts) Typical Low $16.22 Median $30.90 Typical High $56.23 | Professional | None (both parts) | $16.22 | $30.90 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $39.81 Typical High $269.15 | Facility | None | $28.18 | $39.81 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $61.66 | $102.33 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $58.88 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.90 Typical High $74.13 | Professional | TC · Technical part | $26.30 | $38.90 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $302.00 | Professional | None | $48.98 | $58.88 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $100.00 | Professional | 26 · Professional part | $30.90 | $38.02 | $100.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $302.00 | Professional | TC · Technical part | $18.62 | $22.39 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $100.00 Typical High $162.18 | Professional | None (both parts) | $53.70 | $100.00 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $32.36 | $54.95 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $39.81 Typical High $93.33 | Professional | TC · Technical part | $21.38 | $39.81 | $93.33 |
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 $18.62 Median $20.89 Typical High $22.91 | Professional | 52 · Reduced service | $18.62 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.32 Typical High $9.12 | Professional | 53 · Discontinued | $7.41 | $8.32 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $33.11 Typical High $36.31 | Professional | FX · Film X-ray | $30.20 | $33.11 | $36.31 |
Where Georgia sits
The same service costs 3.8 times more in Alaska than in Texas. 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· 22nd of 51
$83.18
AK $151TX $39.81
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.