How much rates vary
Facilitymedian $1,259 · 10th to 90th $347 to $5,495Professionalmedian $525 · 10th to 90th $355 to $3,467
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 $371.54 Median $478.63 Typical High $562.34 | Professional | None (both parts) | $371.54 | $478.63 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $141.25 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $141.25 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $436.52 | Professional | TC · Technical part | $281.84 | $338.84 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $61.66 | $61.66 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $1,548.82 Typical High $1,584.89 | Facility | None | $77.62 | $1,548.82 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $478.63 Typical High $1,412.54 | Professional | None (both parts) | $467.74 | $478.63 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $239.88 | Professional | 26 · Professional part | $74.13 | $77.62 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $398.11 Typical High $1,148.15 | Professional | TC · Technical part | $389.05 | $398.11 | $1,148.15 |
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 $380.19 Median $575.44 Typical High $977.24 | Professional | None (both parts) | $380.19 | $575.44 | $977.24 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $104.71 | $177.83 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $467.74 Typical High $794.33 | Professional | TC · Technical part | $309.03 | $467.74 | $794.33 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $338.84 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $4,466.84 | Facility | None | $501.19 | $1,047.13 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $537.03 Typical High $1,023.29 | Professional | None (both parts) | $302.00 | $537.03 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $83.18 Typical High $173.78 | Professional | 26 · Professional part | $50.12 | $83.18 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $436.52 Typical High $851.14 | Professional | TC · Technical part | $229.09 | $436.52 | $851.14 |
Contra Costa Health Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $537.03 | Professional | None | $302.00 | $398.11 | $537.03 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $91.20 | $123.03 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $245.47 | $309.03 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $758.58 | Professional | None | $309.03 | $389.05 | $758.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $114.82 Typical High $257.04 | Professional | 26 · Professional part | $81.28 | $114.82 | $257.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $363.08 Typical High $831.76 | Professional | TC · Technical part | $263.03 | $363.08 | $831.76 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,630.78 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,630.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $691.83 | $691.83 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,019.95 Typical High $3,090.30 | Professional | TC · Technical part | $3,019.95 | $3,019.95 | $3,090.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $97.72 Typical High $416.87 | Professional | None (both parts) | $33.11 | $97.72 | $416.87 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $602.56 Typical High $1,258.93 | Facility | None | $346.74 | $602.56 | $1,258.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $302.00 Median $537.03 Typical High $933.25 | Professional | None (both parts) | $302.00 | $537.03 | $933.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $48.98 | $79.43 | $147.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $436.52 Typical High $812.83 | Professional | TC · Technical part | $229.09 | $436.52 | $812.83 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,174.90 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | TC · Technical part | $891.25 | $891.25 | $891.25 |
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 $302.00 Median $407.38 Typical High $851.14 | Professional | None (both parts) | $302.00 | $407.38 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $165.96 | Professional | 26 · Professional part | $67.61 | $81.28 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $316.23 Typical High $707.95 | Professional | TC · Technical part | $229.09 | $316.23 | $707.95 |
6 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 $194.98 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $194.98 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $77.62 | $95.50 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $309.03 | $380.19 | $380.19 |
Where California sits
The same service costs 5.6 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· 23rd of 51
$537
WY $1,230UT $219
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.