How much rates vary
Facilitymedian $36 · 10th to 90th $20 to $295Professionalmedian $31 · 10th to 90th $22 to $182
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 $33.11 Typical High $1,819.70 | Facility | None | $27.54 | $33.11 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $8.13 Typical High $12.30 | Facility | 26 · Professional part | $7.08 | $8.13 | $12.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $37.15 Typical High $120.23 | Facility | TC · Technical part | $20.42 | $37.15 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.20 Typical High $52.48 | Professional | None (both parts) | $24.55 | $30.20 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.76 Typical High $12.30 | Professional | 26 · Professional part | $6.76 | $7.76 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $39.81 | Professional | TC · Technical part | $17.78 | $22.39 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $24.55 Typical High $29.51 | Professional | None (both parts) | $23.44 | $24.55 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.94 Typical High $16.98 | Professional | 26 · Professional part | $6.46 | $7.94 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $147.91 Typical High $151.36 | Facility | None | $8.51 | $147.91 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.50 Median $28.18 Typical High $81.28 | Professional | None (both parts) | $19.50 | $28.18 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.51 Typical High $22.39 | Professional | 26 · Professional part | $6.92 | $8.51 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.38 Typical High $66.07 | Professional | TC · Technical part | $19.05 | $21.38 | $66.07 |
Blue Shield Setting Facility Modifier None Typical Low $56.23 Median $154.88 Typical High $257.04 | Facility | None | $56.23 | $154.88 | $257.04 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $21.88 Median $30.90 Typical High $52.48 | Professional | None (both parts) | $21.88 | $30.90 | $52.48 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.91 Typical High $13.80 | Professional | 26 · Professional part | $6.17 | $8.91 | $13.80 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $22.39 Typical High $38.02 | Professional | TC · Technical part | $15.49 | $22.39 | $38.02 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $30.90 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $223.87 Typical High $489.78 | Facility | None | $54.95 | $223.87 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.20 Typical High $57.54 | Professional | None (both parts) | $23.44 | $30.20 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.13 Typical High $15.85 | Professional | 26 · Professional part | $6.46 | $8.13 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $16.60 | $22.39 | $42.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $17.38 Median $38.02 Typical High $51.29 | Professional | None | $17.38 | $38.02 | $51.29 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $8.91 Typical High $12.02 | Professional | 26 · Professional part | $4.79 | $8.91 | $12.02 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $29.51 Typical High $39.81 | Professional | TC · Technical part | $12.59 | $29.51 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $72.44 | Professional | None | $28.84 | $35.48 | $72.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $23.44 | Professional | 26 · Professional part | $7.76 | $10.47 | $23.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $77.62 | Professional | TC · Technical part | $23.44 | $33.88 | $77.62 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $181.97 | $181.97 | $251.19 |
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 $154.88 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $154.88 | $154.88 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.91 Median $23.44 Typical High $33.11 | Professional | None (both parts) | $8.91 | $23.44 | $33.11 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $154.88 Typical High $457.09 | Facility | None | $35.48 | $154.88 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.20 Typical High $60.26 | Professional | None (both parts) | $23.44 | $30.20 | $60.26 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.13 Typical High $13.49 | Professional | 26 · Professional part | $6.46 | $8.13 | $13.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $38.90 | Professional | TC · Technical part | $16.60 | $21.88 | $38.90 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $66.07 | $66.07 | $66.07 |
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 $19.95 Median $28.18 Typical High $58.88 | Professional | None (both parts) | $19.95 | $28.18 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.94 Typical High $15.14 | Professional | 26 · Professional part | $6.03 | $7.94 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $20.42 Typical High $44.67 | Professional | TC · Technical part | $14.45 | $20.42 | $44.67 |
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 $13.80 Median $25.70 Typical High $67.61 | Facility | 52 · Reduced service | $13.80 | $25.70 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $10.23 Typical High $26.92 | Facility | 53 · Discontinued | $5.50 | $10.23 | $26.92 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $21.88 Median $50.12 Typical High $109.65 | Facility | FX · Film X-ray | $21.88 | $50.12 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $13.80 Typical High $15.49 | Professional | 52 · Reduced service | $11.75 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.50 Typical High $6.17 | Professional | 53 · Discontinued | $4.68 | $5.50 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $21.88 Typical High $24.55 | Professional | FX · Film X-ray | $18.62 | $21.88 | $24.55 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $31.62 Median $39.81 Typical High $61.66 | Professional | 50 · Both sides | $31.62 | $39.81 | $61.66 |
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· 33rd of 51
$30.90
AK $83.18FL $22.39
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.