How much rates vary
Facilitymedian $1,413 · 10th to 90th $398 to $6,761Professionalmedian $589 · 10th to 90th $339 to $6,310
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 $478.63 Median $1,174.90 Typical High $4,073.80 | Facility | None | $478.63 | $1,174.90 | $4,073.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $141.25 Median $144.54 Typical High $213.80 | Facility | 26 · Professional part | $141.25 | $144.54 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $691.83 Typical High $2,187.76 | Facility | TC · Technical part | $338.84 | $691.83 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $501.19 Typical High $933.25 | Professional | None (both parts) | $363.08 | $501.19 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $245.47 | Professional | 26 · Professional part | $112.20 | $147.91 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $354.81 Typical High $630.96 | Professional | TC · Technical part | $251.19 | $354.81 | $630.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $288.40 Median $323.59 Typical High $398.11 | Professional | None (both parts) | $288.40 | $323.59 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $199.53 | Professional | 26 · Professional part | $100.00 | $112.20 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $1,621.81 Typical High $1,698.24 | Facility | None | $104.71 | $1,621.81 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $588.84 Median $602.56 Typical High $1,778.28 | Professional | None (both parts) | $588.84 | $602.56 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $109.65 Typical High $338.84 | Professional | 26 · Professional part | $102.33 | $109.65 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $501.19 Typical High $1,479.11 | Professional | TC · Technical part | $489.78 | $501.19 | $1,479.11 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $4,897.79 Typical High $9,332.54 | Facility | None | $100.00 | $4,897.79 | $9,332.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $316.23 Median $478.63 Typical High $812.83 | Professional | None (both parts) | $316.23 | $478.63 | $812.83 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $234.42 | Professional | 26 · Professional part | $95.50 | $138.04 | $234.42 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $338.84 Typical High $588.84 | Professional | TC · Technical part | $218.78 | $338.84 | $588.84 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $467.74 Typical High $2,041.74 | Professional | None (both parts) | $354.81 | $467.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,096.48 Typical High $5,128.61 | Facility | None | $478.63 | $1,096.48 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $575.44 Typical High $1,479.11 | Professional | None (both parts) | $309.03 | $575.44 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $114.82 Typical High $229.09 | Professional | 26 · Professional part | $67.61 | $114.82 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $457.09 Typical High $1,202.26 | Professional | TC · Technical part | $218.78 | $457.09 | $1,202.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $562.34 | Professional | None | $309.03 | $416.87 | $562.34 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $120.23 | $162.18 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $295.12 Typical High $398.11 | Professional | TC · Technical part | $218.78 | $295.12 | $398.11 |
HealthNet Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $794.33 | Professional | None | $323.59 | $398.11 | $794.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $151.36 Typical High $338.84 | Professional | 26 · Professional part | $107.15 | $151.36 | $338.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $346.74 Typical High $812.83 | Professional | TC · Technical part | $245.47 | $346.74 | $812.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | None (both parts) | $6,309.57 | $6,309.57 | $6,309.57 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 26 · Professional part | $912.01 | $912.01 | $912.01 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | TC · Technical part | $5,754.40 | $5,754.40 | $5,754.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $128.82 Typical High $380.19 | Professional | None (both parts) | $33.11 | $128.82 | $380.19 |
Providence Setting Facility Modifier None Typical Low $363.08 Median $676.08 Typical High $1,949.84 | Facility | None | $363.08 | $676.08 | $1,949.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $309.03 Median $575.44 Typical High $1,479.11 | Professional | None (both parts) | $309.03 | $575.44 | $1,479.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $107.15 Typical High $194.98 | Professional | 26 · Professional part | $66.07 | $107.15 | $194.98 |
Providence Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $446.68 Typical High $1,148.15 | Professional | TC · Technical part | $218.78 | $446.68 | $1,148.15 |
Sutter Health Plus Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,202.26 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $851.14 | $851.14 | $851.14 |
United Setting Facility Modifier None Typical Low $575.44 Median $588.84 Typical High $4,897.79 | Facility | None | $575.44 | $588.84 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $1,096.48 | Professional | None (both parts) | $316.23 | $426.58 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $223.87 | Professional | 26 · Professional part | $91.20 | $107.15 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $288.40 Typical High $891.25 | Professional | TC · Technical part | $213.80 | $288.40 | $891.25 |
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 $239.88 Median $426.58 Typical High $1,047.13 | Facility | 52 · Reduced service | $239.88 | $426.58 | $1,047.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $169.82 Typical High $416.87 | Facility | 53 · Discontinued | $95.50 | $169.82 | $416.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $380.19 Median $676.08 Typical High $1,659.59 | Facility | FX · Film X-ray | $380.19 | $676.08 | $1,659.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $81.28 | $95.50 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $323.59 | $380.19 | $380.19 |
Where California sits
The same service costs 6.6 times more in Vermont 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· 19th of 51
$589
VT $1,349UT $204
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.