How much rates vary
Facilitymedian $363 · 10th to 90th $79 to $1,202Professionalmedian $240 · 10th to 90th $49 to $955
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 $245.47 Median $281.84 Typical High $2,238.72 | Facility | None | $245.47 | $281.84 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $602.56 Typical High $1,445.44 | Facility | TC · Technical part | $239.88 | $602.56 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $281.84 | Professional | None (both parts) | $204.17 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $14.45 | Professional | 26 · Professional part | $12.30 | $13.80 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $275.42 | Professional | TC · Technical part | $199.53 | $239.88 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $17.38 Typical High $19.05 | Facility | None | $16.22 | $17.38 | $19.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $302.00 | Professional | None (both parts) | $223.87 | $245.47 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $57.54 | Professional | 26 · Professional part | $13.80 | $16.60 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $229.09 Typical High $281.84 | Professional | TC · Technical part | $208.93 | $229.09 | $281.84 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $338.84 Typical High $602.56 | Facility | None | $97.72 | $338.84 | $602.56 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $42.66 Median $60.26 Typical High $100.00 | Professional | None (both parts) | $42.66 | $60.26 | $100.00 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.38 Typical High $28.84 | Professional | 26 · Professional part | $12.02 | $17.38 | $28.84 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $44.67 Typical High $74.13 | Professional | TC · Technical part | $30.90 | $44.67 | $74.13 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $87.10 Typical High $93.33 | Professional | None (both parts) | $63.10 | $87.10 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $616.60 Typical High $1,412.54 | Facility | None | $120.23 | $616.60 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $57.54 Typical High $104.71 | Professional | None (both parts) | $45.71 | $57.54 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.49 Typical High $30.90 | Professional | 26 · Professional part | $12.88 | $15.49 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $75.86 | Professional | TC · Technical part | $33.11 | $41.69 | $75.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $52.48 | Professional | None | $43.65 | $43.65 | $52.48 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $21.88 | Professional | 26 · Professional part | $13.49 | $16.22 | $21.88 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | TC · Technical part | $30.20 | $30.20 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $64.57 Typical High $138.04 | Professional | None | $52.48 | $64.57 | $138.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.05 Typical High $42.66 | Professional | 26 · Professional part | $14.13 | $19.05 | $42.66 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $549.54 | $1,348.96 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $89.13 | $89.13 | $117.49 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $1,288.25 Typical High $1,288.25 | Professional | TC · Technical part | $512.86 | $1,288.25 | $1,288.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $33.11 | Professional | None (both parts) | $14.45 | $14.45 | $33.11 |
Providence Setting Facility Modifier None Typical Low $77.62 Median $436.52 Typical High $1,288.25 | Facility | None | $77.62 | $436.52 | $1,288.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $45.71 Median $57.54 Typical High $93.33 | Professional | None (both parts) | $45.71 | $57.54 | $93.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.49 Typical High $26.30 | Professional | 26 · Professional part | $12.88 | $15.49 | $26.30 |
Providence Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $70.79 | Professional | TC · Technical part | $33.11 | $41.69 | $70.79 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $602.56 | Facility | None | $389.05 | $389.05 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $245.47 Typical High $562.34 | Professional | None (both parts) | $42.66 | $245.47 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $28.84 | Professional | 26 · Professional part | $12.02 | $15.14 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $234.42 Typical High $537.03 | Professional | TC · Technical part | $30.90 | $234.42 | $537.03 |
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 $123.03 Median $302.00 Typical High $724.44 | Facility | 52 · Reduced service | $123.03 | $302.00 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $120.23 Typical High $288.40 | Facility | 53 · Discontinued | $48.98 | $120.23 | $288.40 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $194.98 Median $489.78 Typical High $1,174.90 | Facility | FX · Film X-ray | $194.98 | $489.78 | $1,174.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $123.03 Typical High $141.25 | Professional | 52 · Reduced service | $102.33 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $48.98 Typical High $56.23 | Professional | 53 · Discontinued | $40.74 | $48.98 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $194.98 Typical High $223.87 | Professional | FX · Film X-ray | $162.18 | $194.98 | $223.87 |
Where California sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 10th of 51
$240
CO $316MI $47.86
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.