How much rates vary
Facilitymedian $1,230 · 10th to 90th $324 to $5,495Professionalmedian $479 · 10th to 90th $302 to $1,820
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 $1,737.80 Typical High $4,073.80 | Facility | None | $478.63 | $1,737.80 | $4,073.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $851.14 Typical High $2,089.30 | Facility | TC · Technical part | $338.84 | $851.14 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $323.59 | $478.63 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $85.11 | $141.25 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $338.84 Typical High $467.74 | Professional | TC · Technical part | $239.88 | $338.84 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $1,348.96 Typical High $1,380.38 | Facility | None | $72.44 | $1,348.96 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $467.74 Typical High $1,288.25 | Professional | None (both parts) | $457.09 | $467.74 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $229.09 | Professional | 26 · Professional part | $69.18 | $74.13 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $398.11 Typical High $1,023.29 | Professional | TC · Technical part | $389.05 | $398.11 | $1,023.29 |
Blue Shield Setting Facility Modifier None Typical Low $660.69 Median $3,467.37 Typical High $6,309.57 | Facility | None | $660.69 | $3,467.37 | $6,309.57 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $338.84 Median $512.86 Typical High $851.14 | Professional | None (both parts) | $338.84 | $512.86 | $851.14 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $67.61 | $97.72 | $165.96 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $416.87 Typical High $676.08 | Professional | TC · Technical part | $269.15 | $416.87 | $676.08 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $295.12 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $954.99 Typical High $4,466.84 | Facility | None | $426.58 | $954.99 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $478.63 Typical High $977.24 | Professional | None (both parts) | $269.15 | $478.63 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $77.62 Typical High $162.18 | Professional | 26 · Professional part | $46.77 | $77.62 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $389.05 Typical High $812.83 | Professional | TC · Technical part | $194.98 | $389.05 | $812.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $467.74 | Professional | None | $257.04 | $346.74 | $467.74 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $85.11 | $114.82 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $354.81 | Professional | TC · Technical part | $208.93 | $263.03 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $676.08 | Professional | None | $269.15 | $338.84 | $676.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $239.88 | Professional | 26 · Professional part | $75.86 | $107.15 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $707.95 | Professional | TC · Technical part | $218.78 | $309.03 | $707.95 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | TC · Technical part | $3,019.95 | $3,019.95 | $3,019.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $91.20 Typical High $371.54 | Professional | None (both parts) | $33.11 | $91.20 | $371.54 |
Providence Setting Facility Modifier None Typical Low $302.00 Median $549.54 Typical High $1,148.15 | Facility | None | $302.00 | $549.54 | $1,148.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $263.03 Median $478.63 Typical High $891.25 | Professional | None (both parts) | $263.03 | $478.63 | $891.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $45.71 | $74.13 | $141.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $389.05 Typical High $776.25 | Professional | TC · Technical part | $194.98 | $389.05 | $776.25 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $263.03 | $263.03 | $263.03 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $758.58 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $891.25 | Facility | None | $575.44 | $575.44 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $346.74 Typical High $776.25 | Professional | None (both parts) | $263.03 | $346.74 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $75.86 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $275.42 Typical High $645.65 | Professional | TC · Technical part | $190.55 | $275.42 | $645.65 |
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 $288.40 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $288.40 | $380.19 | $380.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $501.19 Typical High $1,047.13 | Professional | 50 · Both sides | $398.11 | $501.19 | $1,047.13 |
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· 24th of 51
$479
WY $1,047UT $191
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.