How much rates vary
Facilitymedian $78 · 10th to 90th $48 to $4,169Professionalmedian $74 · 10th to 90th $36 to $155
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 $56.23 Median $56.23 Typical High $97.72 | Facility | None | $56.23 | $56.23 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $63.10 Typical High $162.18 | Professional | None (both parts) | $56.23 | $63.10 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $30.90 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.90 Typical High $89.13 | Professional | TC · Technical part | $27.54 | $30.90 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $63.10 Typical High $93.33 | Professional | None (both parts) | $45.71 | $63.10 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $26.92 | $47.86 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $69.18 Typical High $100.00 | Facility | None | $41.69 | $69.18 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $74.13 Typical High $144.54 | Professional | None (both parts) | $36.31 | $74.13 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $28.18 | $39.81 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $43.65 Typical High $91.20 | Professional | TC · Technical part | $32.36 | $43.65 | $91.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $85.11 | Professional | None (both parts) | $41.69 | $42.66 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $316.23 | Facility | None | $52.48 | $83.18 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $72.44 | $120.23 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $54.95 Typical High $100.00 | Professional | 26 · Professional part | $33.11 | $54.95 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $58.88 Typical High $102.33 | Professional | TC · Technical part | $38.02 | $58.88 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $234.42 | Professional | None | $75.86 | $120.23 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $57.54 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $57.54 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $61.66 Typical High $234.42 | Professional | TC · Technical part | $38.90 | $61.66 | $234.42 |
Oscar Health Setting Facility Modifier None Typical Low $1,412.54 Median $5,370.32 Typical High $22,387.21 | Facility | None | $1,412.54 | $5,370.32 | $22,387.21 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $52.48 Typical High $97.72 | Professional | None (both parts) | $46.77 | $52.48 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $67.61 | $95.50 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $30.90 | $46.77 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $50.12 Typical High $102.33 | Professional | TC · Technical part | $33.88 | $50.12 | $102.33 |
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 $26.92 Median $28.18 Typical High $38.90 | Professional | 52 · Reduced service | $26.92 | $28.18 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.22 Typical High $15.49 | Professional | 53 · Discontinued | $10.96 | $11.22 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $44.67 Typical High $50.12 | Professional | FX · Film X-ray | $43.65 | $44.67 | $50.12 |
Where Georgia sits
The same service costs 4.7 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· 40th of 51
$74.13
AK $257FL $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.