How much rates vary
Facilitymedian $1,230 · 10th to 90th $316 to $4,571Professionalmedian $479 · 10th to 90th $263 to $2,951
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 $1,621.81 Typical High $3,630.78 | Facility | None | $478.63 | $1,621.81 | $3,630.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $776.25 Typical High $2,041.74 | Facility | TC · Technical part | $338.84 | $776.25 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $478.63 Typical High $691.83 | Professional | None (both parts) | $263.03 | $478.63 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $141.25 Typical High $190.55 | Professional | 26 · Professional part | $70.79 | $141.25 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $338.84 Typical High $489.78 | Professional | TC · Technical part | $190.55 | $338.84 | $489.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $1,380.38 | Professional | None (both parts) | $186.21 | $234.42 | $1,380.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $95.50 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $1,174.90 Typical High $1,202.26 | Facility | None | $66.07 | $1,174.90 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $389.05 Typical High $1,096.48 | Professional | None (both parts) | $371.54 | $389.05 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $204.17 | Professional | 26 · Professional part | $64.57 | $67.61 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $323.59 Typical High $870.96 | Professional | TC · Technical part | $309.03 | $323.59 | $870.96 |
Blue Shield Setting Facility Modifier None Typical Low $478.63 Median $2,884.03 Typical High $5,370.32 | Facility | None | $478.63 | $2,884.03 | $5,370.32 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $436.52 Typical High $741.31 | Professional | None (both parts) | $288.40 | $436.52 | $741.31 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $89.13 | $151.36 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $229.09 | $346.74 | $602.56 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $257.04 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $724.44 Typical High $4,466.84 | Facility | None | $363.08 | $724.44 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $426.58 Typical High $851.14 | Professional | None (both parts) | $234.42 | $426.58 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $70.79 Typical High $144.54 | Professional | 26 · Professional part | $41.69 | $70.79 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $354.81 Typical High $707.95 | Professional | TC · Technical part | $169.82 | $354.81 | $707.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $407.38 | Professional | None | $223.87 | $302.00 | $407.38 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $40.74 | $77.62 | $104.71 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $302.00 | Professional | TC · Technical part | $186.21 | $223.87 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $575.44 | Professional | None | $234.42 | $295.12 | $575.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $213.80 | Professional | 26 · Professional part | $67.61 | $95.50 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $269.15 Typical High $602.56 | Professional | TC · Technical part | $190.55 | $269.15 | $602.56 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $3,715.35 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $3,715.35 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 26 · Professional part | $588.84 | $588.84 | $588.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,511.89 Typical High $2,570.40 | Professional | TC · Technical part | $2,511.89 | $2,511.89 | $2,570.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $83.18 Typical High $316.23 | Professional | None (both parts) | $33.11 | $83.18 | $316.23 |
Providence Setting Facility Modifier None Typical Low $263.03 Median $478.63 Typical High $1,230.27 | Facility | None | $263.03 | $478.63 | $1,230.27 |
Providence Setting Professional Modifier None (both parts) Typical Low $229.09 Median $436.52 Typical High $776.25 | Professional | None (both parts) | $229.09 | $436.52 | $776.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $41.69 | $67.61 | $125.89 |
Providence Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $354.81 Typical High $676.08 | Professional | TC · Technical part | $165.96 | $354.81 | $676.08 |
Sutter Health Plus Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $645.65 | $645.65 | $645.65 |
United Setting Facility Modifier None Typical Low $389.05 Median $398.11 Typical High $2,884.03 | Facility | None | $389.05 | $398.11 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $691.83 | Professional | None (both parts) | $229.09 | $323.59 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $69.18 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $575.44 | Professional | TC · Technical part | $165.96 | $239.88 | $575.44 |
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 6.0 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· 19th of 51
$479
WY $912UT $151
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.