How much rates vary
Facilitymedian $91 · 10th to 90th $50 to $182Professionalmedian $74 · 10th to 90th $49 to $162
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 $50.12 Median $50.12 Typical High $125.89 | Facility | None | $50.12 | $50.12 | $125.89 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $36.31 | Facility | 26 · Professional part | $23.99 | $23.99 | $36.31 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $77.62 | Facility | TC · Technical part | $24.55 | $26.30 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $158.49 | Professional | None (both parts) | $48.98 | $58.88 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $77.62 | Professional | 26 · Professional part | $23.44 | $27.54 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.90 Typical High $87.10 | Professional | TC · Technical part | $24.55 | $30.90 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $48.98 | $100.00 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $40.74 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $100.00 Typical High $125.89 | Facility | None | $51.29 | $100.00 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $70.79 Typical High $162.18 | Professional | None (both parts) | $51.29 | $70.79 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $35.48 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $104.71 | Professional | TC · Technical part | $30.90 | $36.31 | $104.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.92 Median $36.31 Typical High $70.79 | Professional | None (both parts) | $26.92 | $36.31 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $281.84 | Facility | None | $51.29 | $72.44 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $58.88 | $117.49 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $29.51 | $45.71 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $64.57 Typical High $120.23 | Professional | TC · Technical part | $29.51 | $64.57 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $213.80 | Professional | None | $61.66 | $74.13 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $85.11 | Professional | 26 · Professional part | $27.54 | $34.67 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $208.93 | Professional | TC · Technical part | $34.67 | $41.69 | $208.93 |
Oscar Health Setting Facility Modifier None Typical Low $66.07 Median $190.55 Typical High $933.25 | Facility | None | $66.07 | $190.55 | $933.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $54.95 Typical High $104.71 | Professional | None (both parts) | $29.51 | $54.95 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $104.71 Typical High $173.78 | Professional | None (both parts) | $60.26 | $104.71 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $28.84 | $38.90 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $58.88 Typical High $109.65 | Professional | TC · Technical part | $30.20 | $58.88 | $109.65 |
4 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 $22.39 Median $25.12 Typical High $28.18 | Professional | 52 · Reduced service | $22.39 | $25.12 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.00 Typical High $11.22 | Professional | 53 · Discontinued | $8.91 | $10.00 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $39.81 Typical High $44.67 | Professional | FX · Film X-ray | $35.48 | $39.81 | $44.67 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $57.54 Median $100.00 Typical High $100.00 | Professional | 59 · Distinct service | $57.54 | $100.00 | $100.00 |
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· 37th of 51
$74.13
AK $182TX $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.