How much rates vary
Facilitymedian $74 · 10th to 90th $30 to $331Professionalmedian $26 · 10th to 90th $20 to $174
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 $21.38 Median $26.30 Typical High $1,819.70 | Facility | None | $21.38 | $26.30 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $38.02 Typical High $100.00 | Facility | TC · Technical part | $16.60 | $38.02 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.70 Typical High $39.81 | Professional | None (both parts) | $21.38 | $25.70 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.59 Typical High $11.75 | Professional | 26 · Professional part | $6.46 | $7.59 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $18.20 Typical High $27.54 | Professional | TC · Technical part | $14.79 | $18.20 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $19.50 | $23.44 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $112.20 Typical High $114.82 | Facility | None | $8.13 | $112.20 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $18.20 Median $24.55 Typical High $72.44 | Professional | None (both parts) | $18.20 | $24.55 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.32 Typical High $25.12 | Professional | 26 · Professional part | $7.24 | $8.32 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $17.78 Typical High $54.95 | Professional | TC · Technical part | $16.60 | $17.78 | $54.95 |
Blue Shield Setting Facility Modifier None Typical Low $56.23 Median $147.91 Typical High $245.47 | Facility | None | $56.23 | $147.91 | $245.47 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $19.05 Median $26.92 Typical High $45.71 | Professional | None (both parts) | $19.05 | $26.92 | $45.71 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.91 Typical High $13.49 | Professional | 26 · Professional part | $6.17 | $8.91 | $13.49 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $18.20 Typical High $30.90 | Professional | TC · Technical part | $12.88 | $18.20 | $30.90 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $23.99 Median $31.62 Typical High $37.15 | Professional | None (both parts) | $23.99 | $31.62 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $223.87 Typical High $489.78 | Facility | None | $47.86 | $223.87 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $27.54 Typical High $47.86 | Professional | None (both parts) | $19.50 | $27.54 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.94 Typical High $15.85 | Professional | 26 · Professional part | $6.61 | $7.94 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $19.05 Typical High $34.67 | Professional | TC · Technical part | $12.88 | $19.05 | $34.67 |
Contra Costa Health Setting Professional Modifier None Typical Low $17.38 Median $28.18 Typical High $38.02 | Professional | None | $17.38 | $28.18 | $38.02 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.51 Typical High $11.48 | Professional | 26 · Professional part | $5.89 | $8.51 | $11.48 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $19.95 Typical High $26.92 | Professional | TC · Technical part | $11.48 | $19.95 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $26.92 Typical High $53.70 | Professional | None | $21.88 | $26.92 | $53.70 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $22.39 | Professional | 26 · Professional part | $7.41 | $10.00 | $22.39 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.91 Typical High $53.70 | Professional | TC · Technical part | $15.85 | $22.91 | $53.70 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $173.78 | $173.78 | $186.21 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $125.89 | $147.91 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.71 Median $15.85 Typical High $33.11 | Professional | None (both parts) | $8.71 | $15.85 | $33.11 |
Providence Setting Facility Modifier None Typical Low $30.20 Median $154.88 Typical High $457.09 | Facility | None | $30.20 | $154.88 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $19.50 Median $27.54 Typical High $48.98 | Professional | None (both parts) | $19.50 | $27.54 | $48.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.76 Typical High $13.80 | Professional | 26 · Professional part | $6.61 | $7.76 | $13.80 |
Providence Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $18.62 Typical High $33.88 | Professional | TC · Technical part | $12.88 | $18.62 | $33.88 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $18.20 Median $22.91 Typical High $45.71 | Professional | None (both parts) | $18.20 | $22.91 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $7.94 Typical High $15.14 | Professional | 26 · Professional part | $5.75 | $7.94 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $15.14 Typical High $30.20 | Professional | TC · Technical part | $12.30 | $15.14 | $30.20 |
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 $11.75 Median $21.38 Typical High $56.23 | Facility | 52 · Reduced service | $11.75 | $21.38 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $8.51 Typical High $22.39 | Facility | 53 · Discontinued | $4.68 | $8.51 | $22.39 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $19.05 Median $33.88 Typical High $81.28 | Facility | FX · Film X-ray | $19.05 | $33.88 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $11.75 Typical High $13.18 | Professional | 52 · Reduced service | $10.00 | $11.75 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.68 Typical High $5.25 | Professional | 53 · Discontinued | $4.07 | $4.68 | $5.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $19.05 Typical High $20.89 | Professional | FX · Film X-ray | $16.22 | $19.05 | $20.89 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $23.99 Median $33.11 Typical High $57.54 | Professional | 50 · Both sides | $23.99 | $33.11 | $57.54 |
Where California sits
The same service costs 3.7 times more in Alaska 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· 31st of 51
$26.30
AK $64.57FL $17.38
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.