How much rates vary
Facilitymedian $1,622 · 10th to 90th $398 to $6,918Professionalmedian $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 $1,659.59 Typical High $4,073.80 | Facility | None | $478.63 | $1,659.59 | $4,073.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $776.25 Typical High $2,089.30 | Facility | TC · Technical part | $338.84 | $776.25 | $2,089.30 |
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 $251.19 | Professional | 26 · Professional part | $112.20 | $147.91 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $354.81 Typical High $645.65 | Professional | TC · Technical part | $251.19 | $354.81 | $645.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $616.60 Typical High $2,187.76 | Professional | None (both parts) | $281.84 | $616.60 | $2,187.76 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $588.84 | Professional | 26 · Professional part | $102.33 | $102.33 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $1,659.59 Typical High $1,698.24 | Facility | None | $114.82 | $1,659.59 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $616.60 Typical High $1,778.28 | Professional | None (both parts) | $562.34 | $616.60 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $371.54 | Professional | 26 · Professional part | $112.20 | $120.23 | $371.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $501.19 Typical High $1,479.11 | Professional | TC · Technical part | $457.09 | $501.19 | $1,479.11 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $4,786.30 Typical High $9,332.54 | Facility | None | $100.00 | $4,786.30 | $9,332.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $316.23 Median $478.63 Typical High $831.76 | Professional | None (both parts) | $316.23 | $478.63 | $831.76 |
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 $223.87 Median $338.84 Typical High $588.84 | Professional | TC · Technical part | $223.87 | $338.84 | $588.84 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $467.74 Typical High $2,089.30 | Professional | None (both parts) | $354.81 | $467.74 | $2,089.30 |
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 $316.23 Median $562.34 Typical High $1,479.11 | Professional | None (both parts) | $316.23 | $562.34 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $123.03 Typical High $234.42 | Professional | 26 · Professional part | $74.13 | $123.03 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $426.58 Typical High $1,122.02 | Professional | TC · Technical part | $218.78 | $426.58 | $1,122.02 |
Contra Costa Health Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $562.34 | Professional | None | $316.23 | $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 $223.87 Median $302.00 Typical High $407.38 | Professional | TC · Technical part | $223.87 | $302.00 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $812.83 | Professional | None | $323.59 | $398.11 | $812.83 |
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 $6,456.54 Typical High $6,456.54 | Professional | None (both parts) | $6,309.57 | $6,456.54 | $6,456.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 26 · Professional part | $933.25 | $933.25 | $933.25 |
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 $316.23 Median $562.34 Typical High $1,479.11 | Professional | None (both parts) | $316.23 | $562.34 | $1,479.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $117.49 Typical High $199.53 | Professional | 26 · Professional part | $66.07 | $117.49 | $199.53 |
Providence Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $416.87 Typical High $1,122.02 | Professional | TC · Technical part | $218.78 | $416.87 | $1,122.02 |
Sutter Health Plus Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,230.27 |
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 $4,677.35 | Facility | None | $575.44 | $588.84 | $4,677.35 |
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 $95.50 Median $109.65 Typical High $223.87 | Professional | 26 · Professional part | $95.50 | $109.65 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $288.40 Typical High $870.96 | Professional | TC · Technical part | $218.78 | $288.40 | $870.96 |
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 6.3 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· 15th of 51
$603
WY $1,288UT $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.