How much rates vary
Facilitymedian $1,202 · 10th to 90th $309 to $4,571Professionalmedian $479 · 10th to 90th $257 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 $1,230.27 Typical High $3,311.31 | Facility | None | $478.63 | $1,230.27 | $3,311.31 |
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 $257.04 Median $478.63 Typical High $724.44 | Professional | None (both parts) | $257.04 | $478.63 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $141.25 Typical High $199.53 | Professional | 26 · Professional part | $66.07 | $141.25 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $338.84 Typical High $537.03 | Professional | TC · Technical part | $190.55 | $338.84 | $537.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $1,348.96 | Professional | None (both parts) | $177.83 | $229.09 | $1,348.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $53.70 | $93.33 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $1,148.15 Typical High $1,174.90 | Facility | None | $60.26 | $1,148.15 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $389.05 Typical High $1,071.52 | Professional | None (both parts) | $371.54 | $389.05 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $186.21 | Professional | 26 · Professional part | $57.54 | $61.66 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $323.59 Typical High $870.96 | Professional | TC · Technical part | $309.03 | $323.59 | $870.96 |
Blue Shield Setting Facility Modifier None Typical Low $478.63 Median $2,818.38 Typical High $5,370.32 | Facility | None | $478.63 | $2,818.38 | $5,370.32 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $281.84 Median $426.58 Typical High $724.44 | Professional | None (both parts) | $281.84 | $426.58 | $724.44 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $81.28 | $141.25 |
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 $251.19 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $251.19 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $724.44 Typical High $4,466.84 | Facility | None | $363.08 | $724.44 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $416.87 Typical High $831.76 | Professional | None (both parts) | $229.09 | $416.87 | $831.76 |
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 $165.96 Median $354.81 Typical High $707.95 | Professional | TC · Technical part | $165.96 | $354.81 | $707.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $398.11 | Professional | None | $218.78 | $295.12 | $398.11 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $70.79 | $95.50 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $302.00 | Professional | TC · Technical part | $181.97 | $223.87 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $562.34 | Professional | None | $229.09 | $288.40 | $562.34 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $199.53 | Professional | 26 · Professional part | $63.10 | $89.13 | $199.53 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $269.15 Typical High $602.56 | Professional | TC · Technical part | $190.55 | $269.15 | $602.56 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,884.03 Typical High $2,951.21 | Professional | None (both parts) | $2,884.03 | $2,884.03 | $2,951.21 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $549.54 | $549.54 | $549.54 |
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 $316.23 | Professional | None (both parts) | $33.11 | $75.86 | $316.23 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $1,230.27 | Facility | None | $257.04 | $478.63 | $1,230.27 |
Providence Setting Professional Modifier None (both parts) Typical Low $223.87 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $223.87 | $426.58 | $758.58 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $38.02 | $61.66 | $117.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $354.81 Typical High $676.08 | Professional | TC · Technical part | $165.96 | $354.81 | $676.08 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $851.14 | $851.14 | $851.14 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $645.65 | $645.65 | $645.65 |
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 $223.87 Median $309.03 Typical High $676.08 | Professional | None (both parts) | $223.87 | $309.03 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $52.48 | $63.10 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $575.44 | Professional | TC · Technical part | $162.18 | $234.42 | $575.44 |
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 $74.13 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $74.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $295.12 | $380.19 | $380.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $338.84 Median $426.58 Typical High $912.01 | Professional | 50 · Both sides | $338.84 | $426.58 | $912.01 |
Where California sits
The same service costs 5.5 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· 16th of 51
$479
WY $891UT $162
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.