How much rates vary
Facilitymedian $603 · 10th to 90th $372 to $4,169Professionalmedian $417 · 10th to 90th $214 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 $1,174.90 Typical High $3,311.31 | Facility | None | $478.63 | $1,174.90 | $3,311.31 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $141.25 Typical High $213.80 | Facility | 26 · Professional part | $100.00 | $141.25 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $691.83 Typical High $2,041.74 | Facility | TC · Technical part | $338.84 | $691.83 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $478.63 Typical High $691.83 | Professional | None (both parts) | $234.42 | $478.63 | $691.83 |
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 $165.96 Median $338.84 Typical High $489.78 | Professional | TC · Technical part | $165.96 | $338.84 | $489.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $104.71 | $208.93 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $52.48 | $74.13 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $1,047.13 Typical High $1,096.48 | Facility | None | $60.26 | $1,047.13 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $389.05 Typical High $1,047.13 | Professional | None (both parts) | $371.54 | $389.05 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $190.55 | Professional | 26 · Professional part | $58.88 | $63.10 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $323.59 Typical High $776.25 | Professional | TC · Technical part | $309.03 | $323.59 | $776.25 |
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 $194.98 Median $295.12 Typical High $512.86 | Professional | None (both parts) | $194.98 | $295.12 | $512.86 |
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 $141.25 Median $213.80 Typical High $371.54 | Professional | TC · Technical part | $141.25 | $213.80 | $371.54 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $302.00 Typical High $831.76 | Professional | None (both parts) | $229.09 | $302.00 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $707.95 Typical High $4,466.84 | Facility | None | $309.03 | $707.95 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $389.05 Typical High $776.25 | Professional | None (both parts) | $194.98 | $389.05 | $776.25 |
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 $138.04 Median $302.00 Typical High $660.69 | Professional | TC · Technical part | $138.04 | $302.00 | $660.69 |
Contra Costa Health Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $363.08 | Professional | None | $194.98 | $269.15 | $363.08 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $72.44 | $97.72 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $269.15 | Professional | TC · Technical part | $144.54 | $199.53 | $269.15 |
HealthNet Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $524.81 | Professional | None | $208.93 | $263.03 | $524.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $204.17 | Professional | 26 · Professional part | $64.57 | $91.20 | $204.17 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $549.54 | Professional | TC · Technical part | $165.96 | $239.88 | $549.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $2,884.03 | $2,884.03 | $2,884.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | TC · Technical part | $2,511.89 | $2,511.89 | $2,511.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $75.86 Typical High $239.88 | Professional | None (both parts) | $33.11 | $75.86 | $239.88 |
Providence Setting Facility Modifier None Typical Low $234.42 Median $457.09 Typical High $1,202.26 | Facility | None | $234.42 | $457.09 | $1,202.26 |
Providence Setting Professional Modifier None (both parts) Typical Low $194.98 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $194.98 | $398.11 | $758.58 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $38.90 | $61.66 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $309.03 Typical High $660.69 | Professional | TC · Technical part | $138.04 | $309.03 | $660.69 |
Sutter Health Plus Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $537.03 | $537.03 | $537.03 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $269.15 Typical High $660.69 | Professional | None (both parts) | $199.53 | $269.15 | $660.69 |
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 $138.04 Median $186.21 Typical High $524.81 | Professional | TC · Technical part | $138.04 | $186.21 | $524.81 |
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 $177.83 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $177.83 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $70.79 | $95.50 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $281.84 | $380.19 | $380.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $302.00 Median $380.19 Typical High $870.96 | Professional | 50 · Both sides | $302.00 | $380.19 | $870.96 |
Where California sits
The same service costs 13.5 times more in Vermont 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· 20th of 51
$427
VT $2,089UT $155
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.