How much rates vary
Facilitymedian $43 · 10th to 90th $27 to $87Professionalmedian $41 · 10th to 90th $26 to $81
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 $28.84 Median $32.36 Typical High $50.12 | Facility | None | $28.84 | $32.36 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $95.50 | Professional | None (both parts) | $30.90 | $35.48 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $38.90 | Professional | 26 · Professional part | $11.75 | $13.49 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.39 Typical High $58.88 | Professional | TC · Technical part | $19.50 | $22.39 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $64.57 Typical High $72.44 | Professional | None (both parts) | $31.62 | $64.57 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $21.88 Typical High $26.92 | Professional | 26 · Professional part | $11.75 | $21.88 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $43.65 Typical High $87.10 | Facility | None | $26.92 | $43.65 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.05 Median $40.74 Typical High $66.07 | Professional | None (both parts) | $19.05 | $40.74 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $37.15 | Professional | 26 · Professional part | $13.49 | $16.22 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $26.30 Typical High $43.65 | Professional | TC · Technical part | $16.22 | $26.30 | $43.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.88 Median $24.55 Typical High $45.71 | Professional | None (both parts) | $12.88 | $24.55 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $331.13 | Facility | None | $40.74 | $40.74 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $58.88 Typical High $104.71 | Professional | None (both parts) | $33.88 | $58.88 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $21.88 Typical High $38.02 | Professional | 26 · Professional part | $14.79 | $21.88 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $33.11 Typical High $67.61 | Professional | TC · Technical part | $19.50 | $33.11 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $95.50 | Professional | None | $40.74 | $48.98 | $95.50 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.78 Typical High $32.36 | Professional | 26 · Professional part | $14.13 | $17.78 | $32.36 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $32.36 Typical High $83.18 | Professional | TC · Technical part | $26.92 | $32.36 | $83.18 |
Oscar Health Setting Facility Modifier None Typical Low $1,905.46 Median $5,011.87 Typical High $6,025.60 | Facility | None | $1,905.46 | $5,011.87 | $6,025.60 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.49 Median $36.31 Typical High $70.79 | Professional | None (both parts) | $15.49 | $36.31 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $46.77 Typical High $102.33 | Professional | None (both parts) | $35.48 | $46.77 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.95 Typical High $38.02 | Professional | 26 · Professional part | $14.79 | $19.95 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $27.54 Typical High $67.61 | Professional | TC · Technical part | $20.42 | $27.54 | $67.61 |
3 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 $14.45 Median $16.22 Typical High $18.62 | Professional | 52 · Reduced service | $14.45 | $16.22 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.61 Typical High $7.59 | Professional | 53 · Discontinued | $5.75 | $6.61 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $26.30 Typical High $28.18 | Professional | FX · Film X-ray | $22.91 | $26.30 | $28.18 |
Where Georgia sits
The same service costs 4.1 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
$40.74
AK $117FL $28.84
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.