How much rates vary
Facilitymedian $39 · 10th to 90th $30 to $295Professionalmedian $37 · 10th to 90th $27 to $219
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 $27.54 Median $38.02 Typical High $1,819.70 | Facility | None | $27.54 | $38.02 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $12.88 | Facility | 26 · Professional part | $7.94 | $9.55 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $39.81 Typical High $147.91 | Facility | TC · Technical part | $21.88 | $39.81 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.88 Typical High $60.26 | Professional | None (both parts) | $27.54 | $33.88 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $14.79 | Professional | 26 · Professional part | $7.94 | $9.12 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $46.77 | Professional | TC · Technical part | $19.50 | $24.55 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $45.71 | Professional | None (both parts) | $31.62 | $37.15 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.02 Typical High $41.69 | Professional | 26 · Professional part | $7.76 | $12.02 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $177.83 Typical High $181.97 | Facility | None | $9.55 | $177.83 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.11 Typical High $117.49 | Professional | None (both parts) | $23.99 | $33.11 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $26.30 | Professional | 26 · Professional part | $7.94 | $9.55 | $26.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.84 Typical High $53.70 | Professional | TC · Technical part | $20.89 | $28.84 | $53.70 |
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 $25.70 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $25.70 | $37.15 | $60.26 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.77 Typical High $15.49 | Professional | 26 · Professional part | $6.76 | $9.77 | $15.49 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $27.54 Typical High $44.67 | Professional | TC · Technical part | $19.05 | $27.54 | $44.67 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $35.48 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $223.87 Typical High $489.78 | Facility | None | $69.18 | $223.87 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $67.61 | Professional | None (both parts) | $26.30 | $33.11 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.33 Typical High $17.78 | Professional | 26 · Professional part | $7.76 | $9.33 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $50.12 | Professional | TC · Technical part | $18.20 | $23.99 | $50.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $19.05 Median $45.71 Typical High $61.66 | Professional | None | $19.05 | $45.71 | $61.66 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $9.33 Typical High $12.59 | Professional | 26 · Professional part | $4.90 | $9.33 | $12.59 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $37.15 Typical High $50.12 | Professional | TC · Technical part | $14.13 | $37.15 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $87.10 | Professional | None | $35.48 | $42.66 | $87.10 |
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 $29.51 Median $42.66 Typical High $97.72 | Professional | TC · Technical part | $29.51 | $42.66 | $97.72 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None (both parts) | $218.78 | $218.78 | $295.12 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $169.82 | $169.82 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.55 Median $28.84 Typical High $38.90 | Professional | None (both parts) | $9.55 | $28.84 | $38.90 |
Providence Setting Facility Modifier None Typical Low $38.90 Median $154.88 Typical High $457.09 | Facility | None | $38.90 | $154.88 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $72.44 | Professional | None (both parts) | $26.30 | $33.11 | $72.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.91 Typical High $15.49 | Professional | 26 · Professional part | $7.76 | $8.91 | $15.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.44 Typical High $44.67 | Professional | TC · Technical part | $18.20 | $23.44 | $44.67 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
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 $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
United Setting Facility Modifier None Typical Low $30.20 Median $36.31 Typical High $36.31 | Facility | None | $30.20 | $36.31 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $33.88 Typical High $72.44 | Professional | None (both parts) | $21.38 | $33.88 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.71 Typical High $16.60 | Professional | 26 · Professional part | $6.92 | $8.71 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $25.12 Typical High $54.95 | Professional | TC · Technical part | $15.49 | $25.12 | $54.95 |
8 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 $15.14 Median $28.18 Typical High $74.13 | Facility | 52 · Reduced service | $15.14 | $28.18 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $11.22 Typical High $29.51 | Facility | 53 · Discontinued | $6.17 | $11.22 | $29.51 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $24.55 Median $44.67 Typical High $107.15 | Facility | FX · Film X-ray | $24.55 | $44.67 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $15.14 Typical High $16.98 | Professional | 52 · Reduced service | $13.18 | $15.14 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.17 Typical High $6.76 | Professional | 53 · Discontinued | $5.25 | $6.17 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $24.55 Typical High $27.54 | Professional | FX · Film X-ray | $20.89 | $24.55 | $27.54 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $50.12 Median $56.23 Typical High $56.23 | Professional | 50 · Both sides | $50.12 | $56.23 | $56.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $47.86 Typical High $74.13 | Professional | 50 · Both sides | $38.02 | $47.86 | $74.13 |
Where California sits
The same service costs 12.9 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· 33rd of 51
$37.15
VT $347FL $26.92
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.