How much rates vary
Facilitymedian $1,230 · 10th to 90th $324 to $5,623Professionalmedian $479 · 10th to 90th $295 to $3,548
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 $1,698.24 Typical High $4,073.80 | Facility | None | $478.63 | $1,698.24 | $4,073.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $812.83 Typical High $2,089.30 | Facility | TC · Technical part | $338.84 | $812.83 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $316.23 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $141.25 Typical High $162.18 | Professional | 26 · Professional part | $87.10 | $141.25 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $338.84 Typical High $398.11 | Professional | TC · Technical part | $223.87 | $338.84 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $467.74 | Professional | None (both parts) | $251.19 | $251.19 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $1,412.54 Typical High $1,445.44 | Facility | None | $85.11 | $1,412.54 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $478.63 Typical High $1,288.25 | Professional | None (both parts) | $467.74 | $478.63 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $275.42 | Professional | 26 · Professional part | $83.18 | $89.13 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $398.11 Typical High $1,047.13 | Professional | TC · Technical part | $389.05 | $398.11 | $1,047.13 |
Blue Shield Setting Facility Modifier None Typical Low $660.69 Median $3,548.13 Typical High $6,456.54 | Facility | None | $660.69 | $3,548.13 | $6,456.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $269.15 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $269.15 | $407.38 | $691.83 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $74.13 | $107.15 | $186.21 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $524.81 | Professional | TC · Technical part | $199.53 | $302.00 | $524.81 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $1,479.11 | Professional | None (both parts) | $309.03 | $407.38 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $954.99 Typical High $4,466.84 | Facility | None | $436.52 | $954.99 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $489.78 Typical High $933.25 | Professional | None (both parts) | $269.15 | $489.78 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $93.33 Typical High $181.97 | Professional | 26 · Professional part | $54.95 | $93.33 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $380.19 Typical High $794.33 | Professional | TC · Technical part | $194.98 | $380.19 | $794.33 |
Contra Costa Health Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $489.78 | Professional | None | $269.15 | $363.08 | $489.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $128.82 | Professional | 26 · Professional part | $70.79 | $95.50 | $128.82 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $269.15 Typical High $363.08 | Professional | TC · Technical part | $199.53 | $269.15 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $707.95 | Professional | None | $281.84 | $354.81 | $707.95 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $263.03 | Professional | 26 · Professional part | $85.11 | $117.49 | $263.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $316.23 Typical High $724.44 | Professional | TC · Technical part | $223.87 | $316.23 | $724.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,548.13 | $3,630.78 | $3,630.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $660.69 Typical High $691.83 | Professional | 26 · Professional part | $660.69 | $660.69 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $102.33 Typical High $323.59 | Professional | None (both parts) | $33.11 | $102.33 | $323.59 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $575.44 Typical High $1,148.15 | Facility | None | $316.23 | $575.44 | $1,148.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $269.15 Median $489.78 Typical High $912.01 | Professional | None (both parts) | $269.15 | $489.78 | $912.01 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $51.29 | $89.13 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $380.19 Typical High $794.33 | Professional | TC · Technical part | $194.98 | $380.19 | $794.33 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,047.13 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $288.40 | $288.40 | $288.40 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $758.58 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $891.25 | Facility | None | $575.44 | $575.44 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $363.08 Typical High $831.76 | Professional | None (both parts) | $275.42 | $363.08 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $74.13 | $85.11 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $660.69 | Professional | TC · Technical part | $194.98 | $263.03 | $660.69 |
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 $186.21 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $186.21 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $74.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $295.12 | $380.19 | $380.19 |
Where California sits
The same service costs 5.9 times more in Wyoming 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· 22nd of 51
$479
WY $1,122UT $191
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.