How much rates vary
Facilitymedian $166 · 10th to 90th $100 to $288Professionalmedian $126 · 10th to 90th $85 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 $87.10 Median $100.00 Typical High $154.88 | Facility | None | $87.10 | $100.00 | $154.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $38.90 | Facility | 26 · Professional part | $23.44 | $25.12 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $120.23 | Facility | TC · Technical part | $72.44 | $79.43 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $309.03 | Professional | None (both parts) | $93.33 | $109.65 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $72.44 | Professional | 26 · Professional part | $23.44 | $28.18 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $234.42 | Professional | TC · Technical part | $69.18 | $83.18 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $93.33 | $138.04 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $25.70 | $51.29 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $141.25 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $141.25 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $165.96 Typical High $288.40 | Facility | None | $100.00 | $165.96 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $75.86 | $123.03 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $31.62 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $60.26 | $93.33 | $158.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.70 Median $79.43 Typical High $123.03 | Professional | None (both parts) | $25.70 | $79.43 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $281.84 | Facility | None | $125.89 | $186.21 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $104.71 | $165.96 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $42.66 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $128.82 Typical High $229.09 | Professional | TC · Technical part | $75.86 | $128.82 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $234.42 | Professional | None | $109.65 | $128.82 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $83.18 | Professional | 26 · Professional part | $26.92 | $33.88 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $234.42 | Professional | TC · Technical part | $83.18 | $95.50 | $234.42 |
Oscar Health Setting Facility Modifier None Typical Low $162.18 Median $190.55 Typical High $1,148.15 | Facility | None | $162.18 | $190.55 | $1,148.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $28.18 | $102.33 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $102.33 | $141.25 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $37.15 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $107.15 Typical High $213.80 | Professional | TC · Technical part | $72.44 | $107.15 | $213.80 |
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 $43.65 Median $50.12 Typical High $53.70 | Professional | 52 · Reduced service | $43.65 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.95 Typical High $21.38 | Professional | 53 · Discontinued | $17.38 | $19.95 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $79.43 Typical High $85.11 | Professional | FX · Film X-ray | $69.18 | $79.43 | $85.11 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $85.11 Median $186.21 Typical High $208.93 | Professional | 59 · Distinct service | $85.11 | $186.21 | $208.93 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | XS · Separate structure | $208.93 | $208.93 | $208.93 |
Where Georgia sits
The same service costs 4.1 times more in Minnesota 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· 28th of 51
$126
MN $363FL $89.13
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.