How much rates vary
Facilitymedian $162 · 10th to 90th $105 to $269Professionalmedian $141 · 10th to 90th $102 to $263
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 $102.33 Median $112.20 Typical High $173.78 | Facility | None | $102.33 | $112.20 | $173.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $58.88 | Facility | 26 · Professional part | $33.11 | $38.02 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $117.49 | Facility | TC · Technical part | $67.61 | $74.13 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $331.13 | Professional | None (both parts) | $100.00 | $123.03 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $107.15 | Professional | 26 · Professional part | $33.11 | $39.81 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $218.78 | Professional | TC · Technical part | $67.61 | $83.18 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $89.13 | $104.71 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $72.44 | Professional | 26 · Professional part | $30.90 | $33.88 | $72.44 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $131.83 Typical High $147.91 | Professional | TC · Technical part | $70.79 | $131.83 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $162.18 Typical High $269.15 | Facility | None | $107.15 | $162.18 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $234.42 | Professional | None (both parts) | $102.33 | $138.04 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $36.31 | $46.77 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $67.61 | $93.33 | $154.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $37.15 Median $74.13 Typical High $131.83 | Professional | None (both parts) | $37.15 | $74.13 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $281.84 | Facility | None | $117.49 | $173.78 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $123.03 | $199.53 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $40.74 | $61.66 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $128.82 Typical High $213.80 | Professional | TC · Technical part | $81.28 | $128.82 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $331.13 | Professional | None | $114.82 | $138.04 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $120.23 | Professional | 26 · Professional part | $38.02 | $47.86 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $288.40 | Professional | TC · Technical part | $77.62 | $93.33 | $288.40 |
Oscar Health Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $1,548.82 | Facility | None | $151.36 | $190.55 | $1,548.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $40.74 | $107.15 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $123.03 | $165.96 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $39.81 | $52.48 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $114.82 | $199.53 |
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 $45.71 Median $52.48 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.89 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $20.89 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $83.18 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $83.18 | $89.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $93.33 Median $97.72 Typical High $194.98 | Professional | 59 · Distinct service | $93.33 | $97.72 | $194.98 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | XS · Separate structure | $223.87 | $223.87 | $223.87 |
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· 26th of 51
$141
AK $355TX $93.33
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.