How much rates vary
Facilitymedian $138 · 10th to 90th $71 to $490Professionalmedian $59 · 10th to 90th $46 to $347
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 $53.70 Median $63.10 Typical High $1,819.70 | Facility | None | $53.70 | $63.10 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $15.49 Typical High $20.89 | Facility | 26 · Professional part | $13.49 | $15.49 | $20.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $70.79 Typical High $223.87 | Facility | TC · Technical part | $38.90 | $70.79 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $58.88 Typical High $102.33 | Professional | None (both parts) | $47.86 | $58.88 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.14 Typical High $23.44 | Professional | 26 · Professional part | $13.49 | $15.14 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $77.62 | Professional | TC · Technical part | $33.88 | $42.66 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $81.28 | Professional | None (both parts) | $51.29 | $57.54 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $20.89 | Professional | 26 · Professional part | $12.59 | $14.79 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $288.40 Typical High $295.12 | Facility | None | $16.98 | $288.40 | $295.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $54.95 Typical High $162.18 | Professional | None (both parts) | $48.98 | $54.95 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $45.71 | Professional | 26 · Professional part | $13.49 | $16.98 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $39.81 Typical High $128.82 | Professional | TC · Technical part | $37.15 | $39.81 | $128.82 |
Blue Shield Setting Facility Modifier None Typical Low $93.33 Median $281.84 Typical High $436.52 | Facility | None | $93.33 | $281.84 | $436.52 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $37.15 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $37.15 | $53.70 | $95.50 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $18.20 Typical High $28.18 | Professional | 26 · Professional part | $12.59 | $18.20 | $28.18 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $66.07 | Professional | TC · Technical part | $24.55 | $35.48 | $66.07 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $83.18 Typical High $93.33 | Professional | None (both parts) | $60.26 | $83.18 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $275.42 Typical High $676.08 | Facility | None | $109.65 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $107.15 | Professional | None (both parts) | $40.74 | $57.54 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $15.85 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $41.69 Typical High $79.43 | Professional | TC · Technical part | $26.30 | $41.69 | $79.43 |
Contra Costa Health Setting Professional Modifier None Typical Low $39.81 Median $74.13 Typical High $100.00 | Professional | None | $39.81 | $74.13 | $100.00 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $20.42 | Professional | 26 · Professional part | $13.18 | $15.85 | $20.42 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $26.92 | $58.88 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $138.04 | Professional | None | $56.23 | $69.18 | $138.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.78 Typical High $39.81 | Professional | 26 · Professional part | $13.18 | $17.78 | $39.81 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $158.49 | Professional | TC · Technical part | $47.86 | $67.61 | $158.49 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $346.74 | $346.74 | $478.63 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $257.04 | $257.04 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $15.49 | $33.11 | $60.26 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $194.98 Typical High $602.56 | Facility | None | $67.61 | $194.98 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $112.20 | Professional | None (both parts) | $40.74 | $57.54 | $112.20 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $26.92 | Professional | 26 · Professional part | $13.18 | $15.85 | $26.92 |
Providence Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $41.69 Typical High $70.79 | Professional | TC · Technical part | $26.30 | $41.69 | $70.79 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $169.82 | Professional | None (both parts) | $53.70 | $53.70 | $169.82 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $123.03 | $123.03 | $123.03 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $51.29 Typical High $109.65 | Professional | None (both parts) | $38.90 | $51.29 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $27.54 | Professional | 26 · Professional part | $12.02 | $14.13 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $83.18 | Professional | TC · Technical part | $28.18 | $37.15 | $83.18 |
7 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 $26.30 Median $48.98 Typical High $117.49 | Facility | 52 · Reduced service | $26.30 | $48.98 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $19.50 Typical High $51.29 | Facility | 53 · Discontinued | $10.72 | $19.50 | $51.29 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $42.66 Median $79.43 Typical High $190.55 | Facility | FX · Film X-ray | $42.66 | $79.43 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $26.30 Typical High $29.51 | Professional | 52 · Reduced service | $22.91 | $26.30 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.72 Typical High $12.02 | Professional | 53 · Discontinued | $9.12 | $10.72 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $42.66 Typical High $47.86 | Professional | FX · Film X-ray | $36.31 | $42.66 | $47.86 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 59 · Distinct service | $50.12 | $50.12 | $50.12 |
Where California sits
The same service costs 4.8 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· 30th of 51
$58.88
AK $158UT $33.11
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.