How much rates vary
Facilitymedian $158 · 10th to 90th $44 to $1,175Professionalmedian $43 · 10th to 90th $32 to $245
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 $38.02 Median $53.70 Typical High $1,819.70 | Facility | None | $38.02 | $53.70 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $72.44 Typical High $181.97 | Facility | TC · Technical part | $29.51 | $72.44 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $42.66 | Professional | None (both parts) | $32.36 | $38.02 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.13 Typical High $8.71 | Professional | 26 · Professional part | $7.08 | $8.13 | $8.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $33.88 | Professional | TC · Technical part | $25.12 | $29.51 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $223.87 Typical High $229.09 | Facility | None | $9.33 | $223.87 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $38.02 Typical High $123.03 | Professional | None (both parts) | $34.67 | $38.02 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $23.99 | Professional | 26 · Professional part | $7.94 | $9.33 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.84 Typical High $97.72 | Professional | TC · Technical part | $27.54 | $28.84 | $97.72 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $128.82 Typical High $223.87 | Facility | None | $48.98 | $128.82 | $223.87 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $30.90 Median $43.65 Typical High $72.44 | Professional | None (both parts) | $30.90 | $43.65 | $72.44 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.33 Typical High $15.49 | Professional | 26 · Professional part | $6.46 | $9.33 | $15.49 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $57.54 | Professional | TC · Technical part | $24.55 | $34.67 | $57.54 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $32.36 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $616.60 Typical High $1,412.54 | Facility | None | $91.20 | $616.60 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.02 Typical High $81.28 | Professional | None (both parts) | $29.51 | $38.02 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.91 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $8.91 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.84 Typical High $64.57 | Professional | TC · Technical part | $20.89 | $28.84 | $64.57 |
Contra Costa Health Setting Professional Modifier None Typical Low $17.38 Median $57.54 Typical High $77.62 | Professional | None | $17.38 | $57.54 | $77.62 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $3.63 Median $9.33 Typical High $12.59 | Professional | 26 · Professional part | $3.63 | $9.33 | $12.59 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $48.98 Typical High $66.07 | Professional | TC · Technical part | $13.80 | $48.98 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $109.65 | Professional | None | $44.67 | $53.70 | $109.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $24.55 | Professional | 26 · Professional part | $8.13 | $10.96 | $24.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $56.23 Typical High $128.82 | Professional | TC · Technical part | $38.90 | $56.23 | $128.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $245.47 | $245.47 | $371.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $58.88 | $67.61 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $194.98 | $194.98 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.76 Median $29.51 Typical High $37.15 | Professional | None (both parts) | $7.76 | $29.51 | $37.15 |
Providence Setting Facility Modifier None Typical Low $39.81 Median $436.52 Typical High $1,288.25 | Facility | None | $39.81 | $436.52 | $1,288.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $83.18 | Professional | None (both parts) | $29.51 | $37.15 | $83.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.71 Typical High $14.45 | Professional | 26 · Professional part | $7.08 | $8.71 | $14.45 |
Providence Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $57.54 | Professional | TC · Technical part | $20.89 | $27.54 | $57.54 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
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 $26.30 Median $39.81 Typical High $85.11 | Professional | None (both parts) | $26.30 | $39.81 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.94 Typical High $15.85 | Professional | 26 · Professional part | $6.61 | $7.94 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $31.62 Typical High $69.18 | Professional | TC · Technical part | $19.50 | $31.62 | $69.18 |
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 $19.05 Median $38.02 Typical High $100.00 | Facility | 52 · Reduced service | $19.05 | $38.02 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $15.14 Typical High $39.81 | Facility | 53 · Discontinued | $7.59 | $15.14 | $39.81 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $30.20 Median $60.26 Typical High $144.54 | Facility | FX · Film X-ray | $30.20 | $60.26 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $19.05 Typical High $21.38 | Professional | 52 · Reduced service | $16.22 | $19.05 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.59 Typical High $8.51 | Professional | 53 · Discontinued | $6.46 | $7.59 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $30.20 Typical High $34.67 | Professional | FX · Film X-ray | $25.70 | $30.20 | $34.67 |
Where California sits
The same service costs 3.6 times more in Alaska than in Utah. 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· 28th of 51
$43.65
AK $115UT $31.62
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.