How much rates vary
Facilitymedian $10 · 10th to 90th $6 to $19Professionalmedian $13 · 10th to 90th $10 to $26
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 $8.91 Median $10.00 Typical High $10.00 | Facility | None | $8.91 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $9.33 Median $10.96 Typical High $30.90 | Professional | None (both parts) | $9.33 | $10.96 | $30.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.41 Typical High $21.38 | Professional | 26 · Professional part | $6.46 | $7.41 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $3.39 Typical High $10.47 | Professional | TC · Technical part | $2.88 | $3.39 | $10.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $9.55 Median $16.60 Typical High $22.91 | Professional | None (both parts) | $9.55 | $16.60 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $10.23 Typical High $18.62 | Facility | None | $4.79 | $10.23 | $18.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.72 Median $12.02 Typical High $23.44 | Professional | None (both parts) | $10.72 | $12.02 | $23.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.75 Typical High $19.05 | Professional | 26 · Professional part | $8.13 | $11.75 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $2.69 Median $4.27 Typical High $7.94 | Professional | TC · Technical part | $2.69 | $4.27 | $7.94 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3.39 Median $7.76 Typical High $13.18 | Professional | None (both parts) | $3.39 | $7.76 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $8.71 Typical High $79.43 | Facility | None | $6.17 | $8.71 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.59 Median $20.42 Typical High $30.90 | Professional | None (both parts) | $12.59 | $20.42 | $30.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.49 Typical High $20.89 | Professional | 26 · Professional part | $8.32 | $13.49 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $6.17 Typical High $10.00 | Professional | TC · Technical part | $3.72 | $6.17 | $10.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $33.88 | Professional | None | $12.02 | $14.45 | $33.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.77 Typical High $19.05 | Professional | 26 · Professional part | $7.76 | $9.77 | $19.05 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $4.79 Typical High $30.20 | Professional | TC · Technical part | $4.17 | $4.79 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $16.98 Typical High $29.51 | Professional | None (both parts) | $12.30 | $16.98 | $29.51 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $8.32 | $12.02 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $5.50 Typical High $9.77 | Professional | TC · Technical part | $3.16 | $5.50 | $9.77 |
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 $4.47 Median $4.90 Typical High $5.62 | Professional | 52 · Reduced service | $4.47 | $4.90 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $2.00 Typical High $2.24 | Professional | 53 · Discontinued | $1.78 | $2.00 | $2.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $7.08 Median $7.94 Typical High $8.71 | Professional | FX · Film X-ray | $7.08 | $7.94 | $8.71 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 51 · Multiple procedures | $9.55 | $9.55 | $9.55 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 59 · Distinct service | $10.47 | $10.47 | $10.47 |
Where Georgia sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 38th of 51
$12.88
AK $35.48FL $9.12
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.