How much rates vary
Facilitymedian $162 · 10th to 90th $28 to $427Professionalmedian $23 · 10th to 90th $18 to $186
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 $21.38 Median $23.44 Typical High $2,238.72 | Facility | None | $21.38 | $23.44 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $11.48 Median $29.51 Typical High $75.86 | Facility | TC · Technical part | $11.48 | $29.51 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $22.39 Typical High $32.36 | Professional | None (both parts) | $19.05 | $22.39 | $32.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $9.12 | $10.47 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $11.75 Typical High $17.78 | Professional | TC · Technical part | $10.00 | $11.75 | $17.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $13.18 Median $15.14 Typical High $29.51 | Professional | None (both parts) | $13.18 | $15.14 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $100.00 Typical High $102.33 | Facility | None | $11.22 | $100.00 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $13.80 Median $22.91 Typical High $67.61 | Professional | None (both parts) | $13.80 | $22.91 | $67.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $30.90 | Professional | 26 · Professional part | $10.23 | $11.22 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $12.02 Typical High $38.90 | Professional | TC · Technical part | $10.00 | $12.02 | $38.90 |
Blue Shield Setting Facility Modifier None Typical Low $58.88 Median $173.78 Typical High $281.84 | Facility | None | $58.88 | $173.78 | $281.84 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $16.98 Median $23.99 Typical High $39.81 | Professional | None (both parts) | $16.98 | $23.99 | $39.81 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $8.91 | $12.88 | $19.95 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $11.22 Typical High $19.50 | Professional | TC · Technical part | $7.94 | $11.22 | $19.50 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $21.38 Median $27.54 Typical High $81.28 | Professional | None (both parts) | $21.38 | $27.54 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $223.87 Typical High $489.78 | Facility | None | $30.90 | $223.87 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $27.54 Typical High $50.12 | Professional | None (both parts) | $16.98 | $27.54 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $21.38 | Professional | 26 · Professional part | $9.33 | $10.96 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $13.49 Typical High $28.84 | Professional | TC · Technical part | $7.59 | $13.49 | $28.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $16.22 Median $24.55 Typical High $33.11 | Professional | None | $16.22 | $24.55 | $33.11 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $15.85 | Professional | 26 · Professional part | $8.32 | $11.75 | $15.85 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $12.88 Typical High $17.38 | Professional | TC · Technical part | $7.76 | $12.88 | $17.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $47.86 | Professional | None | $19.50 | $23.44 | $47.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.80 Typical High $30.90 | Professional | 26 · Professional part | $10.23 | $13.80 | $30.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $14.79 Typical High $34.67 | Professional | TC · Technical part | $10.47 | $14.79 | $34.67 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $186.21 | $208.93 | $208.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.13 Median $11.48 Typical High $33.11 | Professional | None (both parts) | $8.13 | $11.48 | $33.11 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $154.88 Typical High $457.09 | Facility | None | $23.99 | $154.88 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $16.98 Median $27.54 Typical High $47.86 | Professional | None (both parts) | $16.98 | $27.54 | $47.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.72 Typical High $19.05 | Professional | 26 · Professional part | $9.33 | $10.72 | $19.05 |
Providence Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $13.49 Typical High $29.51 | Professional | TC · Technical part | $7.59 | $13.49 | $29.51 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $28.18 | $28.18 | $28.18 |
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 $16.98 Median $19.95 Typical High $43.65 | Professional | None (both parts) | $16.98 | $19.95 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.72 Typical High $20.42 | Professional | 26 · Professional part | $7.94 | $10.72 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $9.55 Typical High $23.44 | Professional | TC · Technical part | $8.32 | $9.55 | $23.44 |
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 $9.12 Median $14.45 Typical High $38.02 | Facility | 52 · Reduced service | $9.12 | $14.45 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $5.89 Typical High $15.49 | Facility | 53 · Discontinued | $3.63 | $5.89 | $15.49 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $13.49 Median $23.44 Typical High $56.23 | Facility | FX · Film X-ray | $13.49 | $23.44 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $10.72 Typical High $11.75 | Professional | 52 · Reduced service | $8.71 | $10.72 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.27 Typical High $4.68 | Professional | 53 · Discontinued | $3.47 | $4.27 | $4.68 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $13.80 Median $16.98 Typical High $18.62 | Professional | FX · Film X-ray | $13.80 | $16.98 | $18.62 |
Where California sits
The same service costs 3.6 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· 33rd of 51
$23.44
AK $56.23FL $15.49
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.