How much rates vary
Facilitymedian $589 · 10th to 90th $347 to $4,467Professionalmedian $417 · 10th to 90th $200 to $3,236
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 $1,148.15 Typical High $3,311.31 | Facility | None | $478.63 | $1,148.15 | $3,311.31 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $204.17 | Facility | 26 · Professional part | $141.25 | $141.25 | $204.17 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $602.56 Typical High $1,995.26 | Facility | TC · Technical part | $338.84 | $602.56 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $478.63 Typical High $691.83 | Professional | None (both parts) | $218.78 | $478.63 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $141.25 Typical High $204.17 | Professional | 26 · Professional part | $72.44 | $141.25 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $338.84 Typical High $489.78 | Professional | TC · Technical part | $144.54 | $338.84 | $489.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $104.71 | $173.78 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $79.43 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $1,000.00 Typical High $1,023.29 | Facility | None | $66.07 | $1,000.00 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $389.05 Typical High $1,000.00 | Professional | None (both parts) | $371.54 | $389.05 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $213.80 | Professional | 26 · Professional part | $64.57 | $69.18 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $323.59 Typical High $812.83 | Professional | TC · Technical part | $309.03 | $323.59 | $812.83 |
Blue Shield Setting Facility Modifier None Typical Low $478.63 Median $3,090.30 Typical High $5,888.44 | Facility | None | $478.63 | $3,090.30 | $5,888.44 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $186.21 | $281.84 | $489.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $61.66 | $89.13 | $154.88 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $125.89 | $190.55 | $331.13 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $1,230.27 | Professional | None (both parts) | $213.80 | $281.84 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $707.95 Typical High $4,466.84 | Facility | None | $275.42 | $707.95 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $371.54 Typical High $812.83 | Professional | None (both parts) | $186.21 | $371.54 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $72.44 Typical High $147.91 | Professional | 26 · Professional part | $42.66 | $72.44 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $281.84 Typical High $676.08 | Professional | TC · Technical part | $123.03 | $281.84 | $676.08 |
Contra Costa Health Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $338.84 | Professional | None | $186.21 | $251.19 | $338.84 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $58.88 | $79.43 | $107.15 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $234.42 | Professional | TC · Technical part | $125.89 | $173.78 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $245.47 Typical High $489.78 | Professional | None | $194.98 | $245.47 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $218.78 | Professional | 26 · Professional part | $69.18 | $97.72 | $218.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $144.54 | $208.93 | $467.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $602.56 | $602.56 | $602.56 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $2,884.03 | $2,884.03 | $2,884.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $83.18 Typical High $223.87 | Professional | None (both parts) | $33.11 | $83.18 | $223.87 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $426.58 Typical High $1,174.90 | Facility | None | $218.78 | $426.58 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $186.21 Median $371.54 Typical High $812.83 | Professional | None (both parts) | $186.21 | $371.54 | $812.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $42.66 | $69.18 | $128.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $281.84 Typical High $645.65 | Professional | TC · Technical part | $123.03 | $281.84 | $645.65 |
Sutter Health Plus Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $724.44 | $724.44 | $724.44 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $239.88 | $239.88 | $239.88 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $478.63 | $478.63 | $478.63 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $645.65 | Professional | None (both parts) | $186.21 | $257.04 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $144.54 | Professional | 26 · Professional part | $57.54 | $69.18 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $512.86 | Professional | TC · Technical part | $123.03 | $169.82 | $512.86 |
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 $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 $165.96 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $165.96 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $67.61 | $95.50 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $269.15 | $380.19 | $380.19 |
Where California sits
The same service costs 24.0 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· 14th of 51
$427
VT $2,951UT $123
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.