How much rates vary
Facilitymedian $1,549 · 10th to 90th $427 to $6,918Professionalmedian $589 · 10th to 90th $380 to $2,042
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 $1,288.25 Typical High $4,073.80 | Facility | None | $478.63 | $1,288.25 | $4,073.80 |
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 $691.83 Typical High $2,041.74 | Facility | TC · Technical part | $338.84 | $691.83 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $501.19 Typical High $933.25 | Professional | None (both parts) | $380.19 | $501.19 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $147.91 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $354.81 Typical High $660.69 | Professional | TC · Technical part | $275.42 | $354.81 | $660.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $309.03 Median $338.84 Typical High $467.74 | Professional | None (both parts) | $309.03 | $338.84 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $151.36 Typical High $562.34 | Professional | 26 · Professional part | $93.33 | $151.36 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $1,737.80 Typical High $1,778.28 | Facility | None | $100.00 | $1,737.80 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $588.84 Median $602.56 Typical High $1,819.70 | Professional | None (both parts) | $588.84 | $602.56 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $100.00 Typical High $295.12 | Professional | 26 · Professional part | $97.72 | $100.00 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $501.19 Typical High $1,548.82 | Professional | TC · Technical part | $489.78 | $501.19 | $1,548.82 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $4,897.79 Typical High $9,332.54 | Facility | None | $100.00 | $4,897.79 | $9,332.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $416.87 Median $645.65 Typical High $1,096.48 | Professional | None (both parts) | $416.87 | $645.65 | $1,096.48 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $134.90 Typical High $234.42 | Professional | 26 · Professional part | $95.50 | $134.90 | $234.42 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $501.19 Typical High $831.76 | Professional | TC · Technical part | $331.13 | $501.19 | $831.76 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $371.54 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,122.02 Typical High $5,128.61 | Facility | None | $537.03 | $1,122.02 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $616.60 Typical High $1,479.11 | Professional | None (both parts) | $338.84 | $616.60 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $109.65 Typical High $218.78 | Professional | 26 · Professional part | $64.57 | $109.65 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $489.78 Typical High $1,258.93 | Professional | TC · Technical part | $245.47 | $489.78 | $1,258.93 |
Contra Costa Health Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $602.56 | Professional | None | $331.13 | $446.68 | $602.56 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $69.18 | $117.49 | $158.49 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $323.59 Typical High $446.68 | Professional | TC · Technical part | $263.03 | $323.59 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $416.87 Typical High $851.14 | Professional | None | $346.74 | $416.87 | $851.14 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $323.59 | Professional | 26 · Professional part | $102.33 | $144.54 | $323.59 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $380.19 Typical High $870.96 | Professional | TC · Technical part | $269.15 | $380.19 | $870.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | None (both parts) | $6,165.95 | $6,165.95 | $6,165.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | TC · Technical part | $5,623.41 | $5,623.41 | $5,623.41 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $123.03 Typical High $467.74 | Professional | None (both parts) | $33.11 | $123.03 | $467.74 |
Providence Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $1,949.84 | Facility | None | $380.19 | $676.08 | $1,949.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $338.84 Median $616.60 Typical High $1,479.11 | Professional | None (both parts) | $338.84 | $616.60 | $1,479.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $104.71 Typical High $190.55 | Professional | 26 · Professional part | $64.57 | $104.71 | $190.55 |
Providence Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $489.78 Typical High $1,258.93 | Professional | TC · Technical part | $245.47 | $489.78 | $1,258.93 |
Sutter Health Plus Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,318.26 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $354.81 | $354.81 | $354.81 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $954.99 | $954.99 | $954.99 |
United Setting Facility Modifier None Typical Low $575.44 Median $588.84 Typical High $5,011.87 | Facility | None | $575.44 | $588.84 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $1,122.02 | Professional | None (both parts) | $338.84 | $446.68 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $213.80 | Professional | 26 · Professional part | $87.10 | $102.33 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $331.13 Typical High $891.25 | Professional | TC · Technical part | $239.88 | $331.13 | $891.25 |
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 $208.93 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $208.93 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $83.18 | $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 5.8 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
$589
WY $1,349UT $234
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.