How much rates vary
Facilitymedian $145 · 10th to 90th $41 to $417Professionalmedian $33 · 10th to 90th $25 to $209
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 $2,238.72 | Facility | None | $28.84 | $32.36 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $50.12 Typical High $128.82 | Facility | TC · Technical part | $20.89 | $50.12 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $25.70 | $31.62 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $13.80 | Professional | 26 · Professional part | $7.41 | $8.51 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $44.67 | Professional | TC · Technical part | $18.62 | $22.91 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $46.77 | Professional | None (both parts) | $30.20 | $30.20 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $169.82 Typical High $173.78 | Facility | None | $9.33 | $169.82 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $31.62 Typical High $100.00 | Professional | None (both parts) | $29.51 | $31.62 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $24.55 | Professional | 26 · Professional part | $8.32 | $9.33 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $69.18 | Professional | TC · Technical part | $19.50 | $21.88 | $69.18 |
Blue Shield Setting Facility Modifier None Typical Low $52.48 Median $128.82 Typical High $218.78 | Facility | None | $52.48 | $128.82 | $218.78 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $23.44 | $33.11 | $54.95 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $6.76 | $9.55 | $16.22 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.44 Typical High $38.90 | Professional | TC · Technical part | $16.60 | $23.44 | $38.90 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $48.98 Typical High $72.44 | Professional | None (both parts) | $37.15 | $48.98 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $223.87 Typical High $489.78 | Facility | None | $63.10 | $223.87 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.90 Typical High $63.10 | Professional | None (both parts) | $24.55 | $30.90 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.91 Typical High $17.78 | Professional | 26 · Professional part | $7.08 | $8.91 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $46.77 | Professional | TC · Technical part | $16.60 | $21.88 | $46.77 |
Contra Costa Health Setting Professional Modifier None Typical Low $24.55 Median $43.65 Typical High $58.88 | Professional | None | $24.55 | $43.65 | $58.88 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $7.08 | $10.00 | $13.49 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $33.88 Typical High $45.71 | Professional | TC · Technical part | $17.38 | $33.88 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $83.18 | Professional | None | $33.88 | $40.74 | $83.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.02 Typical High $26.92 | Professional | 26 · Professional part | $8.91 | $12.02 | $26.92 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $89.13 | Professional | TC · Technical part | $26.92 | $38.90 | $89.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $208.93 | $208.93 | $281.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $154.88 | $154.88 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.47 Median $26.30 Typical High $37.15 | Professional | None (both parts) | $10.47 | $26.30 | $37.15 |
Providence Setting Facility Modifier None Typical Low $37.15 Median $154.88 Typical High $457.09 | Facility | None | $37.15 | $154.88 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.20 Typical High $67.61 | Professional | None (both parts) | $24.55 | $30.20 | $67.61 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.91 Typical High $15.14 | Professional | 26 · Professional part | $7.08 | $8.91 | $15.14 |
Providence Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.42 Typical High $42.66 | Professional | TC · Technical part | $16.60 | $20.42 | $42.66 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $75.86 | $75.86 | $75.86 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $218.78 | Facility | None | $144.54 | $144.54 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $31.62 Typical High $66.07 | Professional | None (both parts) | $20.89 | $31.62 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.71 Typical High $16.60 | Professional | 26 · Professional part | $6.61 | $8.71 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $22.91 Typical High $50.12 | Professional | TC · Technical part | $14.45 | $22.91 | $50.12 |
7 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 Facility Modifier 52 · Reduced service Typical Low $14.45 Median $26.92 Typical High $70.79 | Facility | 52 · Reduced service | $14.45 | $26.92 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $10.72 Typical High $28.18 | Facility | 53 · Discontinued | $5.75 | $10.72 | $28.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $22.91 Median $52.48 Typical High $112.20 | Facility | FX · Film X-ray | $22.91 | $52.48 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $14.45 Typical High $16.22 | Professional | 52 · Reduced service | $12.30 | $14.45 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.75 Typical High $6.46 | Professional | 53 · Discontinued | $4.90 | $5.75 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $22.91 Typical High $25.70 | Professional | FX · Film X-ray | $19.50 | $22.91 | $25.70 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $28.84 Median $38.02 Typical High $61.66 | Professional | 50 · Both sides | $28.84 | $38.02 | $61.66 |
Where California sits
The same service costs 4.1 times more in Alaska than in New York. 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.
California· 36th of 51
$33.88
AK $95.50NY $23.44
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.