How much rates vary
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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $125.89 | Professional | None (both parts) | $38.02 | $43.65 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $67.61 | Professional | 26 · Professional part | $19.95 | $23.44 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.42 Typical High $57.54 | Professional | TC · Technical part | $17.38 | $20.42 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $87.10 | Professional | None (both parts) | $30.90 | $39.81 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $44.67 | Professional | 26 · Professional part | $22.91 | $35.48 | $44.67 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $36.31 | Professional | TC · Technical part | $26.30 | $26.30 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $69.18 Typical High $85.11 | Facility | None | $24.55 | $69.18 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $24.55 Median $52.48 Typical High $102.33 | Professional | None (both parts) | $24.55 | $52.48 | $102.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $22.39 | $31.62 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $27.54 Typical High $63.10 | Professional | TC · Technical part | $20.42 | $27.54 | $63.10 |
CareSource Setting Professional Modifier None (both parts) Typical Low $18.62 Median $26.30 Typical High $51.29 | Professional | None (both parts) | $18.62 | $26.30 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $46.77 Typical High $269.15 | Facility | None | $32.36 | $46.77 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $83.18 Typical High $123.03 | Professional | None (both parts) | $47.86 | $83.18 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $25.70 | $37.15 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $38.90 Typical High $58.88 | Professional | TC · Technical part | $21.88 | $38.90 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $218.78 | Professional | None | $45.71 | $54.95 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $24.55 | $30.20 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $218.78 | Professional | TC · Technical part | $21.38 | $25.70 | $218.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $37.15 Typical High $70.79 | Professional | None (both parts) | $23.44 | $37.15 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $74.13 Typical High $123.03 | Professional | None (both parts) | $47.86 | $74.13 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $25.70 | $33.11 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $35.48 Typical High $85.11 | Professional | TC · Technical part | $21.38 | $35.48 | $85.11 |
2 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 FX · Film X-ray Typical Low $28.18 Median $31.62 Typical High $34.67 | Professional | FX · Film X-ray | $28.18 | $31.62 | $34.67 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $33.11 Median $41.69 Typical High $81.28 | Professional | 59 · Distinct service | $33.11 | $41.69 | $81.28 |
Where Georgia sits
The same service costs 4.5 times more in Alaska than in Utah. 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· 30th of 51
$54.95
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.