How much rates vary
Facilitymedian $36 · 10th to 90th $20 to $295Professionalmedian $33 · 10th to 90th $26 to $209
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 $28.84 Median $34.67 Typical High $1,819.70 | Facility | None | $28.84 | $34.67 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $12.88 | Facility | 26 · Professional part | $7.08 | $8.51 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $38.90 Typical High $128.82 | Facility | TC · Technical part | $21.38 | $38.90 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $57.54 | Professional | None (both parts) | $25.70 | $31.62 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.13 Typical High $12.88 | Professional | 26 · Professional part | $7.08 | $8.13 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $44.67 | Professional | TC · Technical part | $18.62 | $23.44 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $60.26 | Professional | None (both parts) | $32.36 | $32.36 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.02 Typical High $15.49 | Professional | 26 · Professional part | $9.12 | $12.02 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $173.78 Typical High $177.83 | Facility | None | $8.91 | $173.78 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $29.51 Typical High $100.00 | Professional | None (both parts) | $26.92 | $29.51 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $23.44 | Professional | 26 · Professional part | $7.59 | $8.91 | $23.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.88 Typical High $69.18 | Professional | TC · Technical part | $20.42 | $21.88 | $69.18 |
Blue Shield Setting Facility Modifier None Typical Low $57.54 Median $162.18 Typical High $257.04 | Facility | None | $57.54 | $162.18 | $257.04 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $22.91 Median $32.36 Typical High $54.95 | Professional | None (both parts) | $22.91 | $32.36 | $54.95 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.77 Typical High $15.14 | Professional | 26 · Professional part | $6.76 | $9.77 | $15.14 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.91 Typical High $39.81 | Professional | TC · Technical part | $16.22 | $22.91 | $39.81 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $36.31 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $223.87 Typical High $467.74 | Facility | None | $66.07 | $223.87 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $63.10 | Professional | None (both parts) | $25.12 | $31.62 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.51 Typical High $16.98 | Professional | 26 · Professional part | $7.24 | $8.51 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.91 Typical High $46.77 | Professional | TC · Technical part | $17.38 | $22.91 | $46.77 |
Contra Costa Health Setting Professional Modifier None Typical Low $20.89 Median $44.67 Typical High $60.26 | Professional | None | $20.89 | $44.67 | $60.26 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $9.33 Typical High $12.59 | Professional | 26 · Professional part | $6.03 | $9.33 | $12.59 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $35.48 Typical High $47.86 | Professional | TC · Technical part | $14.79 | $35.48 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $85.11 | Professional | None | $34.67 | $41.69 | $85.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $24.55 | Professional | 26 · Professional part | $8.13 | $10.96 | $24.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $40.74 Typical High $95.50 | Professional | TC · Technical part | $28.18 | $40.74 | $95.50 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $208.93 | $208.93 | $288.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $162.18 | $162.18 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.55 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $9.55 | $26.92 | $36.31 |
Providence Setting Facility Modifier None Typical Low $37.15 Median $154.88 Typical High $457.09 | Facility | None | $37.15 | $154.88 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.90 Typical High $66.07 | Professional | None (both parts) | $25.12 | $30.90 | $66.07 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.32 Typical High $14.79 | Professional | 26 · Professional part | $7.24 | $8.32 | $14.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.91 Typical High $42.66 | Professional | TC · Technical part | $17.38 | $22.91 | $42.66 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $75.86 | $75.86 | $75.86 |
United Setting Facility Modifier None Typical Low $19.95 Median $36.31 Typical High $36.31 | Facility | None | $19.95 | $36.31 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $31.62 Typical High $67.61 | Professional | None (both parts) | $20.89 | $31.62 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.71 Typical High $16.22 | Professional | 26 · Professional part | $6.31 | $8.71 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.91 Typical High $51.29 | Professional | TC · Technical part | $15.14 | $22.91 | $51.29 |
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 $14.45 Median $26.92 Typical High $70.79 | Facility | 52 · Reduced service | $14.45 | $26.92 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $10.96 Typical High $28.84 | Facility | 53 · Discontinued | $5.75 | $10.96 | $28.84 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $22.91 Median $53.70 Typical High $114.82 | Facility | FX · Film X-ray | $22.91 | $53.70 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $14.45 Typical High $16.22 | Professional | 52 · Reduced service | $12.30 | $14.45 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.75 Typical High $6.46 | Professional | 53 · Discontinued | $4.90 | $5.75 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $22.91 Typical High $25.70 | Professional | FX · Film X-ray | $19.50 | $22.91 | $25.70 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $44.67 Typical High $63.10 | Professional | 50 · Both sides | $36.31 | $44.67 | $63.10 |
Where California sits
The same service costs 6.0 times more in Vermont than in Florida. 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· 36th of 51
$33.88
VT $155FL $25.70
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.