How much rates vary
Facilitymedian $162 · 10th to 90th $91 to $295Professionalmedian $135 · 10th to 90th $91 to $245
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 $107.15 Typical High $177.83 | Facility | None | $102.33 | $107.15 | $177.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $48.98 | Facility | 26 · Professional part | $28.84 | $29.51 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $120.23 | Facility | TC · Technical part | $74.13 | $77.62 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $323.59 | Professional | None (both parts) | $100.00 | $123.03 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $89.13 | Professional | 26 · Professional part | $28.18 | $33.88 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $234.42 | Professional | TC · Technical part | $72.44 | $87.10 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $87.10 | $107.15 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $47.86 | $63.10 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $144.54 Typical High $165.96 | Professional | TC · Technical part | $64.57 | $144.54 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $162.18 Typical High $295.12 | Facility | None | $64.57 | $162.18 | $295.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $87.10 | $134.90 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $38.90 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $154.88 | Professional | TC · Technical part | $63.10 | $97.72 | $154.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $31.62 | $83.18 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $190.55 Typical High $281.84 | Facility | None | $128.82 | $190.55 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $177.83 Typical High $323.59 | Professional | None (both parts) | $112.20 | $177.83 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $53.70 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $128.82 Typical High $239.88 | Professional | TC · Technical part | $75.86 | $128.82 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $309.03 | Professional | None | $120.23 | $141.25 | $309.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $93.33 | Professional | 26 · Professional part | $33.11 | $41.69 | $93.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $263.03 | Professional | TC · Technical part | $87.10 | $100.00 | $263.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $45.71 | $117.49 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $295.12 | Professional | None (both parts) | $112.20 | $158.49 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $46.77 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $213.80 | Professional | TC · Technical part | $79.43 | $114.82 | $213.80 |
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 $46.77 Median $53.70 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.38 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $21.38 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $85.11 Typical High $91.20 | Professional | FX · Film X-ray | $74.13 | $85.11 | $91.20 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $25.12 | $25.12 | $25.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $125.89 Median $199.53 Typical High $229.09 | Professional | 59 · Distinct service | $125.89 | $199.53 | $229.09 |
Where Georgia sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$135
AK $355FL $97.72
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.