How much rates vary
Facilitymedian $234 · 10th to 90th $129 to $1,047Professionalmedian $219 · 10th to 90th $155 to $1,698
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 $181.97 Median $199.53 Typical High $2,238.72 | Facility | None | $181.97 | $199.53 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $229.09 Typical High $549.54 | Facility | TC · Technical part | $89.13 | $229.09 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $165.96 | $190.55 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $134.90 | Professional | 26 · Professional part | $87.10 | $95.50 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $234.42 | Professional | TC · Technical part | $79.43 | $91.20 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $199.53 | $199.53 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $1,445.44 Typical High $1,479.11 | Facility | None | $89.13 | $1,445.44 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $162.18 | $181.97 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $95.50 Typical High $177.83 | Professional | 26 · Professional part | $93.33 | $95.50 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $87.10 | $190.55 |
Blue Shield Setting Facility Modifier None Typical Low $141.25 Median $707.95 Typical High $1,258.93 | Facility | None | $141.25 | $707.95 | $1,258.93 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $134.90 | $194.98 | $251.19 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $120.23 | Professional | 26 · Professional part | $67.61 | $95.50 | $120.23 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $97.72 | $134.90 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $338.84 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $724.44 | Facility | None | $128.82 | $194.98 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $173.78 | $223.87 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $87.10 | $102.33 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $223.87 | Professional | TC · Technical part | $89.13 | $117.49 | $223.87 |
Contra Costa Health Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | None | $371.54 | $407.38 | $407.38 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $120.23 | $131.83 | $131.83 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $251.19 | $275.42 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $602.56 | Professional | None | $288.40 | $331.13 | $602.56 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $138.04 Typical High $269.15 | Professional | 26 · Professional part | $104.71 | $138.04 | $269.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $269.15 Typical High $512.86 | Professional | TC · Technical part | $194.98 | $269.15 | $512.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $1,698.24 | $2,398.83 | $2,398.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $851.14 Typical High $851.14 | Professional | 26 · Professional part | $630.96 | $851.14 | $851.14 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,548.82 Typical High $1,548.82 | Professional | TC · Technical part | $1,047.13 | $1,548.82 | $1,548.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $117.49 | $144.54 | $245.47 |
Optum Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $131.83 Median $199.53 Typical High $549.54 | Facility | None | $131.83 | $199.53 | $549.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $173.78 | $223.87 | $354.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $141.25 | Professional | 26 · Professional part | $87.10 | $102.33 | $141.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $117.49 | $218.78 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $831.76 | $831.76 | $831.76 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $489.78 | $489.78 | $489.78 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $446.68 | Facility | None | $288.40 | $288.40 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $251.19 Typical High $371.54 | Professional | None (both parts) | $151.36 | $251.19 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $107.15 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $147.91 Typical High $245.47 | Professional | TC · Technical part | $79.43 | $147.91 | $245.47 |
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 $79.43 Median $114.82 Typical High $275.42 | Facility | 52 · Reduced service | $79.43 | $114.82 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $45.71 Typical High $120.23 | Facility | 53 · Discontinued | $31.62 | $45.71 | $120.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $104.71 Median $181.97 Typical High $436.52 | Facility | FX · Film X-ray | $104.71 | $181.97 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $91.20 Typical High $104.71 | Professional | 52 · Reduced service | $79.43 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $36.31 Typical High $41.69 | Professional | 53 · Discontinued | $31.62 | $36.31 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $144.54 Typical High $190.55 | Professional | FX · Film X-ray | $131.83 | $144.54 | $190.55 |
Where California sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 45th of 51
$219
AK $741TX $138
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.