How much rates vary
Facilitymedian $158 · 10th to 90th $81 to $562Professionalmedian $78 · 10th to 90th $59 to $398
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 $75.86 Median $104.71 Typical High $407.38 | Facility | None | $75.86 | $104.71 | $407.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $131.83 Typical High $346.74 | Facility | TC · Technical part | $57.54 | $131.83 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $75.86 Typical High $114.82 | Professional | None (both parts) | $67.61 | $75.86 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.38 Typical High $23.44 | Professional | 26 · Professional part | $15.14 | $17.38 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $93.33 | Professional | TC · Technical part | $51.29 | $60.26 | $93.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $60.26 Typical High $83.18 | Professional | None (both parts) | $56.23 | $60.26 | $83.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $33.88 | Professional | 26 · Professional part | $15.14 | $15.14 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $323.59 Typical High $331.13 | Facility | None | $19.95 | $323.59 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $208.93 | Professional | None (both parts) | $60.26 | $75.86 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.95 Typical High $53.70 | Professional | 26 · Professional part | $14.45 | $19.95 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $57.54 Typical High $147.91 | Professional | TC · Technical part | $46.77 | $57.54 | $147.91 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $346.74 Typical High $575.44 | Facility | None | $97.72 | $346.74 | $575.44 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $52.48 Median $74.13 Typical High $131.83 | Professional | None (both parts) | $52.48 | $74.13 | $131.83 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $32.36 | Professional | 26 · Professional part | $13.18 | $19.05 | $32.36 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $56.23 Typical High $100.00 | Professional | TC · Technical part | $38.90 | $56.23 | $100.00 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $69.18 | $93.33 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $275.42 Typical High $676.08 | Facility | None | $123.03 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $131.83 | Professional | None (both parts) | $53.70 | $75.86 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.62 Typical High $34.67 | Professional | 26 · Professional part | $14.13 | $18.62 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $56.23 Typical High $100.00 | Professional | TC · Technical part | $38.90 | $56.23 | $100.00 |
Contra Costa Health Setting Professional Modifier None Typical Low $52.48 Median $83.18 Typical High $112.20 | Professional | None | $52.48 | $83.18 | $112.20 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $22.39 | Professional | 26 · Professional part | $13.18 | $16.60 | $22.39 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $66.07 Typical High $89.13 | Professional | TC · Technical part | $39.81 | $66.07 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $154.88 | Professional | None | $63.10 | $75.86 | $154.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.50 Typical High $44.67 | Professional | 26 · Professional part | $14.45 | $19.50 | $44.67 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $177.83 | Professional | TC · Technical part | $53.70 | $75.86 | $177.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $537.03 | Professional | None (both parts) | $398.11 | $398.11 | $537.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $309.03 | $309.03 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.38 Median $33.11 Typical High $69.18 | Professional | None (both parts) | $17.38 | $33.11 | $69.18 |
Providence Setting Facility Modifier None Typical Low $89.13 Median $234.42 Typical High $602.56 | Facility | None | $89.13 | $234.42 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $53.70 | $75.86 | $134.90 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $29.51 | Professional | 26 · Professional part | $14.13 | $18.20 | $29.51 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $93.33 | Professional | TC · Technical part | $38.90 | $54.95 | $93.33 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $199.53 | Professional | None (both parts) | $72.44 | $72.44 | $199.53 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $147.91 | $147.91 | $147.91 |
United Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $63.10 Typical High $128.82 | Professional | None (both parts) | $52.48 | $63.10 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $30.20 | Professional | 26 · Professional part | $13.18 | $15.49 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $100.00 | Professional | TC · Technical part | $38.02 | $45.71 | $100.00 |
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 $38.02 Median $74.13 Typical High $177.83 | Facility | 52 · Reduced service | $38.02 | $74.13 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $29.51 Typical High $77.62 | Facility | 53 · Discontinued | $15.14 | $29.51 | $77.62 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $60.26 Median $117.49 Typical High $281.84 | Facility | FX · Film X-ray | $60.26 | $117.49 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $38.02 Typical High $42.66 | Professional | 52 · Reduced service | $28.18 | $38.02 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $15.14 Typical High $16.98 | Professional | 53 · Discontinued | $11.48 | $15.14 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $60.26 Typical High $67.61 | Professional | FX · Film X-ray | $45.71 | $60.26 | $67.61 |
Where California sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 27th of 51
$77.62
AK $182TX $50.12
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.