How much rates vary
Facilitymedian $43 · 10th to 90th $30 to $295Professionalmedian $36 · 10th to 90th $29 to $224
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 $28.84 Median $38.90 Typical High $1,819.70 | Facility | None | $28.84 | $38.90 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $12.88 | Facility | 26 · Professional part | $7.41 | $8.91 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $43.65 Typical High $147.91 | Facility | TC · Technical part | $23.99 | $43.65 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $28.84 | $35.48 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $13.18 | Professional | 26 · Professional part | $7.41 | $8.51 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $21.38 | $26.92 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $44.67 | Professional | None (both parts) | $29.51 | $35.48 | $44.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.32 Typical High $15.14 | Professional | 26 · Professional part | $6.17 | $8.32 | $15.14 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $32.36 Typical High $50.12 | Professional | TC · Technical part | $19.95 | $32.36 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $177.83 Typical High $181.97 | Facility | None | $9.33 | $177.83 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $104.71 | Professional | None (both parts) | $30.20 | $33.11 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $24.55 | Professional | 26 · Professional part | $7.59 | $9.33 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $81.28 | Professional | TC · Technical part | $22.91 | $25.12 | $81.28 |
Blue Shield Setting Facility Modifier None Typical Low $58.88 Median $165.96 Typical High $263.03 | Facility | None | $58.88 | $165.96 | $263.03 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $23.99 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $23.99 | $34.67 | $60.26 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.55 Typical High $15.14 | Professional | 26 · Professional part | $6.76 | $9.55 | $15.14 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $24.55 Typical High $44.67 | Professional | TC · Technical part | $17.38 | $24.55 | $44.67 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $51.29 Typical High $52.48 | Professional | None (both parts) | $37.15 | $51.29 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $223.87 Typical High $489.78 | Facility | None | $67.61 | $223.87 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.88 Typical High $66.07 | Professional | None (both parts) | $26.30 | $33.88 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.91 Typical High $17.38 | Professional | 26 · Professional part | $7.08 | $8.91 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $51.29 | Professional | TC · Technical part | $19.05 | $24.55 | $51.29 |
Contra Costa Health Setting Professional Modifier None Typical Low $23.99 Median $45.71 Typical High $61.66 | Professional | None | $23.99 | $45.71 | $61.66 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.12 Typical High $12.30 | Professional | 26 · Professional part | $6.76 | $9.12 | $12.30 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $36.31 Typical High $48.98 | Professional | TC · Technical part | $17.38 | $36.31 | $48.98 |
HealthNet Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $16.60 | $16.60 | $16.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $87.10 | Professional | None | $34.67 | $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 $41.69 Typical High $97.72 | Professional | TC · Technical part | $29.51 | $41.69 | $97.72 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $223.87 | $223.87 | $295.12 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
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 $40.74 Median $154.88 Typical High $457.09 | Facility | None | $40.74 | $154.88 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $26.30 | $33.11 | $70.79 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.91 Typical High $14.79 | Professional | 26 · Professional part | $7.08 | $8.91 | $14.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $45.71 | Professional | TC · Technical part | $19.05 | $24.55 | $45.71 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
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 $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
United Setting Facility Modifier None Typical Low $30.20 Median $42.66 Typical High $42.66 | Facility | None | $30.20 | $42.66 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $22.91 | $33.11 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.71 Typical High $16.60 | Professional | 26 · Professional part | $6.61 | $8.71 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $24.55 Typical High $54.95 | Professional | TC · Technical part | $16.60 | $24.55 | $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 $15.85 Median $30.90 Typical High $81.28 | Facility | 52 · Reduced service | $15.85 | $30.90 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $12.30 Typical High $32.36 | Facility | 53 · Discontinued | $6.46 | $12.30 | $32.36 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $25.70 Median $60.26 Typical High $128.82 | Facility | FX · Film X-ray | $25.70 | $60.26 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $15.85 Typical High $17.78 | Professional | 52 · Reduced service | $13.80 | $15.85 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.46 Typical High $7.24 | Professional | 53 · Discontinued | $5.50 | $6.46 | $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 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $48.98 Median $52.48 Typical High $295.12 | Professional | 50 · Both sides | $48.98 | $52.48 | $295.12 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.90 Median $47.86 Typical High $67.61 | Professional | 50 · Both sides | $38.90 | $47.86 | $67.61 |
Where California sits
The same service costs 15.1 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· 34th of 51
$36.31
VT $407FL $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.