How much rates vary
Facilitymedian $38 · 10th to 90th $20 to $282Professionalmedian $38 · 10th to 90th $28 to $240
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 $31.62 Median $38.90 Typical High $1,819.70 | Facility | None | $31.62 | $38.90 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.89 Median $7.08 Typical High $10.72 | Facility | 26 · Professional part | $5.89 | $7.08 | $10.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $48.98 Typical High $154.88 | Facility | TC · Technical part | $25.70 | $48.98 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $69.18 | Professional | None (both parts) | $28.18 | $34.67 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.92 Typical High $10.72 | Professional | 26 · Professional part | $5.89 | $6.92 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $57.54 | Professional | TC · Technical part | $22.39 | $28.18 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $40.74 Typical High $53.70 | Professional | None (both parts) | $36.31 | $40.74 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $6.17 | $8.51 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $204.17 Typical High $208.93 | Facility | None | $7.24 | $204.17 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $31.62 Typical High $117.49 | Professional | None (both parts) | $30.20 | $31.62 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.24 Typical High $19.50 | Professional | 26 · Professional part | $6.31 | $7.24 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $24.55 Typical High $87.10 | Professional | TC · Technical part | $23.99 | $24.55 | $87.10 |
Blue Shield Setting Facility Modifier None Typical Low $52.48 Median $128.82 Typical High $218.78 | Facility | None | $52.48 | $128.82 | $218.78 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.02 Typical High $61.66 | Professional | None (both parts) | $26.30 | $38.02 | $61.66 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $8.13 Typical High $12.59 | Professional | 26 · Professional part | $5.62 | $8.13 | $12.59 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $48.98 | Professional | TC · Technical part | $20.89 | $29.51 | $48.98 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $28.84 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $223.87 Typical High $489.78 | Facility | None | $77.62 | $223.87 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.88 Typical High $74.13 | Professional | None (both parts) | $26.30 | $33.88 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.08 Typical High $14.13 | Professional | 26 · Professional part | $5.89 | $7.08 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.30 Typical High $60.26 | Professional | TC · Technical part | $19.50 | $26.30 | $60.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $15.49 Median $53.70 Typical High $72.44 | Professional | None | $15.49 | $53.70 | $72.44 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $7.76 Typical High $10.47 | Professional | 26 · Professional part | $3.24 | $7.76 | $10.47 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $45.71 Typical High $61.66 | Professional | TC · Technical part | $12.30 | $45.71 | $61.66 |
HealthNet Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $100.00 | Professional | None | $40.74 | $48.98 | $100.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.12 Typical High $20.42 | Professional | 26 · Professional part | $6.76 | $9.12 | $20.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $52.48 Typical High $123.03 | Professional | TC · Technical part | $37.15 | $52.48 | $123.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $239.88 | $239.88 | $338.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $56.23 | Professional | 26 · Professional part | $53.70 | $53.70 | $56.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $199.53 | $199.53 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.94 Median $33.11 Typical High $42.66 | Professional | None (both parts) | $7.94 | $33.11 | $42.66 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $158.49 Typical High $457.09 | Facility | None | $36.31 | $158.49 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $75.86 | Professional | None (both parts) | $25.70 | $33.11 | $75.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.92 Typical High $12.30 | Professional | 26 · Professional part | $5.89 | $6.92 | $12.30 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $53.70 | Professional | TC · Technical part | $19.50 | $23.99 | $53.70 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $95.50 | $95.50 | $95.50 |
United Setting Facility Modifier None Typical Low $19.95 Median $32.36 Typical High $32.36 | Facility | None | $19.95 | $32.36 | $32.36 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $36.31 Typical High $77.62 | Professional | None (both parts) | $21.88 | $36.31 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $7.24 Typical High $13.49 | Professional | 26 · Professional part | $5.25 | $7.24 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $28.84 Typical High $64.57 | Professional | TC · Technical part | $16.60 | $28.84 | $64.57 |
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 $15.85 Median $32.36 Typical High $85.11 | Facility | 52 · Reduced service | $15.85 | $32.36 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.31 Median $12.88 Typical High $34.67 | Facility | 53 · Discontinued | $6.31 | $12.88 | $34.67 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $25.70 Median $63.10 Typical High $138.04 | Facility | FX · Film X-ray | $25.70 | $63.10 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $15.85 Typical High $17.78 | Professional | 52 · Reduced service | $13.49 | $15.85 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.31 Typical High $7.24 | Professional | 53 · Discontinued | $5.37 | $6.31 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $25.70 Typical High $28.84 | Professional | FX · Film X-ray | $21.88 | $25.70 | $28.84 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $50.12 Typical High $74.13 | Professional | 50 · Both sides | $38.02 | $50.12 | $74.13 |
Where California sits
The same service costs 11.5 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
$38.02
VT $339FL $29.51
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.