How much rates vary
Facilitymedian $78 · 10th to 90th $40 to $324Professionalmedian $33 · 10th to 90th $25 to $204
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 $25.12 Median $33.88 Typical High $1,819.70 | Facility | None | $25.12 | $33.88 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.41 Median $8.32 Typical High $13.80 | Facility | 26 · Professional part | $7.41 | $8.32 | $13.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $39.81 Typical High $117.49 | Facility | TC · Technical part | $19.95 | $39.81 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.20 Typical High $56.23 | Professional | None (both parts) | $25.12 | $30.20 | $56.23 |
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 $17.38 Median $21.88 Typical High $39.81 | Professional | TC · Technical part | $17.38 | $21.88 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $29.51 | $32.36 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $16.60 | Professional | 26 · Professional part | $10.23 | $12.88 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $162.18 Typical High $165.96 | Facility | None | $9.33 | $162.18 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $30.20 Typical High $97.72 | Professional | None (both parts) | $28.84 | $30.20 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $25.12 | Professional | 26 · Professional part | $8.32 | $9.33 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.42 Typical High $64.57 | Professional | TC · Technical part | $18.62 | $20.42 | $64.57 |
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 $33.88 Typical High $53.70 | Professional | None (both parts) | $23.44 | $33.88 | $53.70 |
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 $23.99 Typical High $38.90 | Professional | TC · Technical part | $16.60 | $23.99 | $38.90 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $32.36 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $223.87 Typical High $489.78 | Facility | None | $58.88 | $223.87 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $29.51 Typical High $60.26 | Professional | None (both parts) | $23.99 | $29.51 | $60.26 |
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 $20.89 Typical High $44.67 | Professional | TC · Technical part | $16.60 | $20.89 | $44.67 |
Contra Costa Health Setting Professional Modifier None Typical Low $17.38 Median $41.69 Typical High $56.23 | Professional | None | $17.38 | $41.69 | $56.23 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $5.01 | $10.00 | $13.49 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $30.90 Typical High $41.69 | Professional | TC · Technical part | $12.30 | $30.90 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $77.62 | Professional | None | $31.62 | $38.02 | $77.62 |
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 $25.12 Median $36.31 Typical High $83.18 | Professional | TC · Technical part | $25.12 | $36.31 | $83.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $269.15 | Professional | None (both parts) | $204.17 | $204.17 | $269.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $147.91 | $147.91 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.47 Median $25.70 Typical High $35.48 | Professional | None (both parts) | $10.47 | $25.70 | $35.48 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $154.88 Typical High $457.09 | Facility | None | $35.48 | $154.88 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $23.99 Median $29.51 Typical High $66.07 | Professional | None (both parts) | $23.99 | $29.51 | $66.07 |
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 $19.95 Typical High $39.81 | Professional | TC · Technical part | $16.60 | $19.95 | $39.81 |
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 $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $30.90 Typical High $66.07 | Professional | None (both parts) | $20.42 | $30.90 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.33 Typical High $17.78 | Professional | 26 · Professional part | $6.61 | $9.33 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $21.88 Typical High $47.86 | Professional | TC · Technical part | $13.49 | $21.88 | $47.86 |
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 $13.80 Median $25.12 Typical High $60.26 | Facility | 52 · Reduced service | $13.80 | $25.12 | $60.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $10.23 Typical High $26.92 | Facility | 53 · Discontinued | $5.50 | $10.23 | $26.92 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $22.39 Median $50.12 Typical High $107.15 | Facility | FX · Film X-ray | $22.39 | $50.12 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $13.80 Typical High $15.49 | Professional | 52 · Reduced service | $11.75 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.50 Typical High $6.17 | Professional | 53 · Discontinued | $4.79 | $5.50 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $22.39 Typical High $24.55 | Professional | FX · Film X-ray | $19.05 | $22.39 | $24.55 |
Where California sits
The same service costs 4.3 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· 35th of 51
$33.88
AK $93.33NY $21.88
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.