How much rates vary
Facilitymedian $93 · 10th to 90th $63 to $166Professionalmedian $115 · 10th to 90th $78 to $229
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 $77.62 Median $77.62 Typical High $977.24 | Facility | None | $77.62 | $77.62 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $83.18 Typical High $239.88 | Professional | None (both parts) | $74.13 | $83.18 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $131.83 | Professional | 26 · Professional part | $38.02 | $41.69 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.02 Typical High $112.20 | Professional | TC · Technical part | $33.11 | $38.02 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $95.50 Typical High $158.49 | Professional | None (both parts) | $64.57 | $95.50 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $93.33 Typical High $144.54 | Facility | None | $61.66 | $93.33 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $229.09 | Professional | None (both parts) | $83.18 | $114.82 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $45.71 | $61.66 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $123.03 | Professional | TC · Technical part | $41.69 | $52.48 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $331.13 | Facility | None | $63.10 | $63.10 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $93.33 | $154.88 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $75.86 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $42.66 | $70.79 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $275.42 | Professional | None | $89.13 | $107.15 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $204.17 | Professional | 26 · Professional part | $47.86 | $60.26 | $204.17 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $50.12 Typical High $245.47 | Professional | TC · Technical part | $41.69 | $50.12 | $245.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $72.44 Typical High $138.04 | Professional | None (both parts) | $46.77 | $72.44 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $93.33 | $125.89 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $64.57 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $61.66 Typical High $109.65 | Professional | TC · Technical part | $42.66 | $61.66 | $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 $34.67 Median $38.90 Typical High $42.66 | Professional | 52 · Reduced service | $34.67 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.49 Typical High $16.98 | Professional | 53 · Discontinued | $13.80 | $15.49 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $63.10 Typical High $67.61 | Professional | FX · Film X-ray | $56.23 | $63.10 | $67.61 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 59 · Distinct service | $70.79 | $70.79 | $70.79 |
Where Georgia sits
The same service costs 4.2 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· 18th of 51
$115
AK $275TX $66.07
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.