How much rates vary
Facilitymedian $1,479 · 10th to 90th $389 to $4,571Professionalmedian $479 · 10th to 90th $316 to $2,884
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 $1,584.89 Typical High $3,630.78 | Facility | None | $478.63 | $1,584.89 | $3,630.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $758.58 Typical High $2,041.74 | Facility | TC · Technical part | $338.84 | $758.58 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $501.19 Typical High $676.08 | Professional | None (both parts) | $354.81 | $501.19 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $141.25 Typical High $190.55 | Professional | 26 · Professional part | $66.07 | $141.25 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $354.81 Typical High $501.19 | Professional | TC · Technical part | $281.84 | $354.81 | $501.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $1,862.09 | Professional | None (both parts) | $245.47 | $316.23 | $1,862.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $66.07 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $1,584.89 Typical High $1,621.81 | Facility | None | $60.26 | $1,584.89 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $1,230.27 | Professional | None (both parts) | $371.54 | $398.11 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $190.55 | Professional | 26 · Professional part | $57.54 | $61.66 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $331.13 Typical High $1,071.52 | Professional | TC · Technical part | $309.03 | $331.13 | $1,071.52 |
Blue Shield Setting Facility Modifier None Typical Low $478.63 Median $2,884.03 Typical High $5,370.32 | Facility | None | $478.63 | $2,884.03 | $5,370.32 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $281.84 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $281.84 | $426.58 | $758.58 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $81.28 | $138.04 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $229.09 | $346.74 | $602.56 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $346.74 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $812.83 Typical High $4,466.84 | Facility | None | $478.63 | $812.83 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $446.68 Typical High $912.01 | Professional | None (both parts) | $288.40 | $446.68 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $64.57 Typical High $134.90 | Professional | 26 · Professional part | $38.90 | $64.57 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $380.19 Typical High $776.25 | Professional | TC · Technical part | $245.47 | $380.19 | $776.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $549.54 | Professional | None | $302.00 | $407.38 | $549.54 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $72.44 | $97.72 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $251.19 | $338.84 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $389.05 Typical High $776.25 | Professional | None | $316.23 | $389.05 | $776.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $204.17 | Professional | 26 · Professional part | $64.57 | $91.20 | $204.17 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $398.11 Typical High $912.01 | Professional | TC · Technical part | $281.84 | $398.11 | $912.01 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,884.03 Typical High $3,019.95 | Professional | None (both parts) | $2,884.03 | $2,884.03 | $3,019.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $467.74 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,511.89 Typical High $2,570.40 | Professional | TC · Technical part | $2,511.89 | $2,511.89 | $2,570.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $75.86 Typical High $354.81 | Professional | None (both parts) | $33.11 | $75.86 | $354.81 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $616.60 Typical High $1,230.27 | Facility | None | $346.74 | $616.60 | $1,230.27 |
Providence Setting Professional Modifier None (both parts) Typical Low $295.12 Median $436.52 Typical High $870.96 | Professional | None (both parts) | $295.12 | $436.52 | $870.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $38.90 | $61.66 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $371.54 Typical High $707.95 | Professional | TC · Technical part | $245.47 | $371.54 | $707.95 |
Sutter Health Plus Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,174.90 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
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 $389.05 Median $398.11 Typical High $2,884.03 | Facility | None | $389.05 | $398.11 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $380.19 Typical High $776.25 | Professional | None (both parts) | $302.00 | $380.19 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $51.29 | $63.10 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $660.69 | Professional | TC · Technical part | $245.47 | $323.59 | $660.69 |
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 $186.21 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $186.21 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $75.86 | $95.50 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $302.00 | $380.19 | $380.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $478.63 Typical High $1,047.13 | Professional | 50 · Both sides | $354.81 | $478.63 | $1,047.13 |
Where California sits
The same service costs 5.1 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
$479
WY $1,202UT $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.