How much rates vary
Facilitymedian $72 · 10th to 90th $35 to $302Professionalmedian $55 · 10th to 90th $33 to $141
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 $28.18 Median $32.36 Typical High $74.13 | Facility | None | $28.18 | $32.36 | $74.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $8.51 Typical High $15.14 | Facility | 26 · Professional part | $7.59 | $8.51 | $15.14 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $67.61 | Facility | TC · Technical part | $22.91 | $25.12 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $109.65 | Professional | None (both parts) | $30.90 | $39.81 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $25.12 | Professional | 26 · Professional part | $7.94 | $9.55 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $89.13 | Professional | TC · Technical part | $22.91 | $28.84 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $39.81 Typical High $75.86 | Professional | None (both parts) | $33.88 | $39.81 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $13.80 Typical High $18.20 | Professional | 26 · Professional part | $8.13 | $13.80 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $74.13 Typical High $154.88 | Facility | None | $38.02 | $74.13 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $54.95 Typical High $151.36 | Professional | None (both parts) | $37.15 | $54.95 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.02 Typical High $20.89 | Professional | 26 · Professional part | $8.71 | $12.02 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.90 Typical High $125.89 | Professional | TC · Technical part | $28.18 | $38.90 | $125.89 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.33 Median $29.51 Typical High $47.86 | Professional | None (both parts) | $9.33 | $29.51 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $64.57 Typical High $269.15 | Facility | None | $45.71 | $64.57 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $79.43 Typical High $169.82 | Professional | None (both parts) | $40.74 | $79.43 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.49 Typical High $25.70 | Professional | 26 · Professional part | $10.00 | $15.49 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $60.26 Typical High $114.82 | Professional | TC · Technical part | $30.20 | $60.26 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $295.12 | Professional | None | $43.65 | $57.54 | $295.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.18 Typical High $51.29 | Professional | 26 · Professional part | $10.47 | $13.18 | $51.29 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $43.65 Typical High $295.12 | Professional | TC · Technical part | $33.88 | $43.65 | $295.12 |
Oscar Health Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $4,073.80 | Facility | None | $302.00 | $1,122.02 | $4,073.80 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $10.23 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $10.23 | $37.15 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $69.18 Typical High $117.49 | Professional | None (both parts) | $39.81 | $69.18 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.80 Typical High $22.91 | Professional | 26 · Professional part | $8.71 | $13.80 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $52.48 Typical High $97.72 | Professional | TC · Technical part | $30.20 | $52.48 | $97.72 |
1 more rate 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 $22.39 Median $25.70 Typical High $28.84 | Professional | FX · Film X-ray | $22.39 | $25.70 | $28.84 |
Where Georgia sits
The same service costs 4.2 times more in Vermont 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· 30th of 51
$56.23
VT $135FL $32.36
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.