How much rates vary
Facilitymedian $93 · 10th to 90th $25 to $339Professionalmedian $35 · 10th to 90th $27 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 $30.20 Median $33.88 Typical High $2,238.72 | Facility | None | $30.20 | $33.88 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $50.12 Typical High $128.82 | Facility | TC · Technical part | $21.38 | $50.12 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $27.54 | $33.11 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $15.85 | Professional | 26 · Professional part | $8.51 | $9.77 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $42.66 | Professional | TC · Technical part | $18.62 | $23.44 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $21.38 | $21.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $162.18 Typical High $169.82 | Facility | None | $10.00 | $162.18 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $32.36 Typical High $107.15 | Professional | None (both parts) | $30.20 | $32.36 | $107.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.23 Typical High $28.18 | Professional | 26 · Professional part | $9.55 | $10.23 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.88 Typical High $69.18 | Professional | TC · Technical part | $20.42 | $21.88 | $69.18 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $194.98 Typical High $309.03 | Facility | None | $67.61 | $194.98 | $309.03 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $24.55 Median $35.48 Typical High $58.88 | Professional | None (both parts) | $24.55 | $35.48 | $58.88 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.30 Typical High $18.62 | Professional | 26 · Professional part | $8.51 | $12.30 | $18.62 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.91 Typical High $39.81 | Professional | TC · Technical part | $16.22 | $22.91 | $39.81 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $46.77 Typical High $56.23 | Professional | None (both parts) | $35.48 | $46.77 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $223.87 Typical High $489.78 | Facility | None | $57.54 | $223.87 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $26.30 | $36.31 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.23 Typical High $20.89 | Professional | 26 · Professional part | $8.71 | $10.23 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $24.55 Typical High $46.77 | Professional | TC · Technical part | $17.38 | $24.55 | $46.77 |
Contra Costa Health Setting Professional Modifier None Typical Low $25.70 Median $41.69 Typical High $56.23 | Professional | None | $25.70 | $41.69 | $56.23 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.22 Typical High $15.14 | Professional | 26 · Professional part | $8.91 | $11.22 | $15.14 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $30.90 Typical High $41.69 | Professional | TC · Technical part | $16.98 | $30.90 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $38.90 Typical High $79.43 | Professional | None | $32.36 | $38.90 | $79.43 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.49 Typical High $30.20 | Professional | 26 · Professional part | $10.00 | $13.49 | $30.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $81.28 | Professional | TC · Technical part | $24.55 | $35.48 | $81.28 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $208.93 | $208.93 | $275.42 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $194.98 | $194.98 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.48 Median $25.12 Typical High $36.31 | Professional | None (both parts) | $11.48 | $25.12 | $36.31 |
Providence Setting Facility Modifier None Typical Low $38.90 Median $154.88 Typical High $457.09 | Facility | None | $38.90 | $154.88 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $26.30 Median $34.67 Typical High $69.18 | Professional | None (both parts) | $26.30 | $34.67 | $69.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $9.77 Typical High $18.20 | Professional | 26 · Professional part | $8.91 | $9.77 | $18.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.99 Typical High $45.71 | Professional | TC · Technical part | $17.38 | $23.99 | $45.71 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $70.79 | $70.79 | $70.79 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $31.62 Typical High $67.61 | Professional | None (both parts) | $23.99 | $31.62 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.47 Typical High $19.95 | Professional | 26 · Professional part | $7.24 | $10.47 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.38 Typical High $46.77 | Professional | TC · Technical part | $16.98 | $21.38 | $46.77 |
6 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 $15.14 Median $26.92 Typical High $70.79 | Facility | 52 · Reduced service | $15.14 | $26.92 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.03 Median $10.96 Typical High $28.84 | Facility | 53 · Discontinued | $6.03 | $10.96 | $28.84 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $24.55 Median $53.70 Typical High $114.82 | Facility | FX · Film X-ray | $24.55 | $53.70 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $15.14 Typical High $16.98 | Professional | 52 · Reduced service | $13.18 | $15.14 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.03 Typical High $6.76 | Professional | 53 · Discontinued | $5.25 | $6.03 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $24.55 Typical High $27.54 | Professional | FX · Film X-ray | $20.89 | $24.55 | $27.54 |
Where California sits
The same service costs 3.8 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.
California· 34th of 51
$35.48
AK $95.50FL $25.12
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.