How much rates vary
Facilitymedian $112 · 10th to 90th $72 to $741Professionalmedian $100 · 10th to 90th $63 to $182
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 $72.44 Median $77.62 Typical High $316.23 | Facility | None | $72.44 | $77.62 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $83.18 Typical High $223.87 | Professional | None (both parts) | $69.18 | $83.18 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $87.10 | Professional | 26 · Professional part | $26.30 | $30.90 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $51.29 Typical High $138.04 | Professional | TC · Technical part | $41.69 | $51.29 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $87.10 Typical High $158.49 | Professional | None (both parts) | $66.07 | $87.10 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $26.30 | $46.77 | $60.26 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $87.10 | Professional | TC · Technical part | $58.88 | $63.10 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $107.15 Typical High $173.78 | Facility | None | $72.44 | $107.15 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $63.10 | $95.50 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $38.02 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $63.10 | $100.00 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.20 Median $48.98 Typical High $93.33 | Professional | None (both parts) | $30.20 | $48.98 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $112.20 Typical High $281.84 | Facility | None | $77.62 | $112.20 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $85.11 | $134.90 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $48.98 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $81.28 Typical High $138.04 | Professional | TC · Technical part | $51.29 | $81.28 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $245.47 | Professional | None | $83.18 | $100.00 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $95.50 | Professional | 26 · Professional part | $30.90 | $38.90 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $218.78 | Professional | TC · Technical part | $51.29 | $61.66 | $218.78 |
Oscar Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $3,090.30 | Facility | None | $1,288.25 | $1,949.84 | $3,090.30 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $72.44 Typical High $128.82 | Professional | None (both parts) | $41.69 | $72.44 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $85.11 | $117.49 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $43.65 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $52.48 | $72.44 | $128.82 |
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 $31.62 Median $36.31 Typical High $38.90 | Professional | 52 · Reduced service | $31.62 | $36.31 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.45 Typical High $15.49 | Professional | 53 · Discontinued | $12.59 | $14.45 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $57.54 Typical High $61.66 | Professional | FX · Film X-ray | $51.29 | $57.54 | $61.66 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $97.72 Median $134.90 Typical High $158.49 | Professional | 59 · Distinct service | $97.72 | $134.90 | $158.49 |
Where Georgia sits
The same service costs 3.6 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· 24th of 51
$100
AK $245TX $67.61
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.