How much rates vary
Facilitymedian $1,318 · 10th to 90th $380 to $4,786Professionalmedian $525 · 10th to 90th $355 to $3,020
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 $1,737.80 Typical High $4,073.80 | Facility | None | $478.63 | $1,737.80 | $4,073.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $851.14 Typical High $2,089.30 | Facility | TC · Technical part | $338.84 | $851.14 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $501.19 Typical High $630.96 | Professional | None (both parts) | $478.63 | $501.19 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $131.83 | $141.25 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $354.81 Typical High $501.19 | Professional | TC · Technical part | $338.84 | $354.81 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $1,737.80 Typical High $1,778.28 | Facility | None | $81.28 | $1,737.80 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $537.03 Typical High $1,479.11 | Professional | None (both parts) | $478.63 | $537.03 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $257.04 | Professional | 26 · Professional part | $79.43 | $83.18 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $457.09 Typical High $1,174.90 | Professional | TC · Technical part | $398.11 | $457.09 | $1,174.90 |
Blue Shield Setting Facility Modifier None Typical Low $794.33 Median $3,630.78 Typical High $5,623.41 | Facility | None | $794.33 | $3,630.78 | $5,623.41 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $331.13 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $331.13 | $501.19 | $870.96 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $181.97 | Professional | 26 · Professional part | $74.13 | $107.15 | $181.97 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $398.11 Typical High $691.83 | Professional | TC · Technical part | $263.03 | $398.11 | $691.83 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $380.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $831.76 Typical High $4,466.84 | Facility | None | $549.54 | $831.76 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $501.19 Typical High $977.24 | Professional | None (both parts) | $309.03 | $501.19 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $51.29 | $87.10 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $812.83 | Professional | TC · Technical part | $251.19 | $398.11 | $812.83 |
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 $93.33 Typical High $125.89 | Professional | 26 · Professional part | $69.18 | $93.33 | $125.89 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $354.81 Typical High $478.63 | Professional | TC · Technical part | $263.03 | $354.81 | $478.63 |
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 $81.28 Median $109.65 Typical High $251.19 | Professional | 26 · Professional part | $81.28 | $109.65 | $251.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $407.38 Typical High $954.99 | Professional | TC · Technical part | $288.40 | $407.38 | $954.99 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $3,162.28 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $616.60 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,570.40 Median $2,570.40 Typical High $2,691.53 | Professional | TC · Technical part | $2,570.40 | $2,570.40 | $2,691.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $100.00 Typical High $354.81 | Professional | None (both parts) | $33.11 | $100.00 | $354.81 |
Providence Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $1,096.48 | Facility | None | $380.19 | $676.08 | $1,096.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $309.03 Median $478.63 Typical High $954.99 | Professional | None (both parts) | $309.03 | $478.63 | $954.99 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $83.18 Typical High $154.88 | Professional | 26 · Professional part | $51.29 | $83.18 | $154.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $707.95 | Professional | TC · Technical part | $251.19 | $398.11 | $707.95 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,288.25 |
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $407.38 Typical High $851.14 | Professional | None (both parts) | $331.13 | $407.38 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $169.82 | Professional | 26 · Professional part | $69.18 | $83.18 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $331.13 Typical High $691.83 | Professional | TC · Technical part | $257.04 | $331.13 | $691.83 |
7 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 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | 59 · Distinct service | $2,089.30 | $2,089.30 | $2,089.30 |
Where California sits
The same service costs 5.6 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· 27th of 51
$525
WY $1,380UT $245
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.