How much rates vary
Facilitymedian $85 · 10th to 90th $52 to $117Professionalmedian $85 · 10th to 90th $50 to $151
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 $56.23 Median $57.54 Typical High $77.62 | Facility | None | $56.23 | $57.54 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $61.66 Typical High $208.93 | Professional | None (both parts) | $51.29 | $61.66 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $74.13 | Professional | 26 · Professional part | $23.44 | $26.92 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $34.67 Typical High $134.90 | Professional | TC · Technical part | $28.18 | $34.67 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $95.50 Typical High $120.23 | Professional | None (both parts) | $52.48 | $95.50 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $13.49 | $35.48 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $93.33 Typical High $114.82 | Facility | None | $52.48 | $93.33 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $75.86 Typical High $144.54 | Professional | None (both parts) | $41.69 | $75.86 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $31.62 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $54.95 Typical High $97.72 | Professional | TC · Technical part | $32.36 | $54.95 | $97.72 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.30 Median $34.67 Typical High $67.61 | Professional | None (both parts) | $26.30 | $34.67 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $70.79 Typical High $269.15 | Facility | None | $51.29 | $70.79 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $81.28 | $117.49 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $43.65 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $102.33 | Professional | TC · Technical part | $48.98 | $66.07 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $218.78 | Professional | None | $61.66 | $74.13 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $81.28 | Professional | 26 · Professional part | $28.18 | $35.48 | $81.28 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $194.98 | Professional | TC · Technical part | $33.88 | $40.74 | $194.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $54.95 Typical High $112.20 | Professional | None (both parts) | $30.20 | $54.95 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $154.88 | Professional | None (both parts) | $75.86 | $102.33 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $36.31 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $67.61 Typical High $97.72 | Professional | TC · Technical part | $45.71 | $67.61 | $97.72 |
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 $25.12 Median $28.84 Typical High $30.90 | Professional | 52 · Reduced service | $25.12 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $11.48 Typical High $12.30 | Professional | 53 · Discontinued | $10.00 | $11.48 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $45.71 Typical High $50.12 | Professional | FX · Film X-ray | $39.81 | $45.71 | $50.12 |
Where Georgia sits
The same service costs 4.1 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· 27th of 51
$85.11
AK $195TX $47.86
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.