How much rates vary
Facilitymedian $525 · 10th to 90th $65 to $1,549Professionalmedian $123 · 10th to 90th $93 to $339
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 $100.00 Median $112.20 Typical High $2,238.72 | Facility | None | $100.00 | $112.20 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $173.78 Typical High $416.87 | Facility | TC · Technical part | $67.61 | $173.78 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $87.10 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $38.02 | Professional | 26 · Professional part | $26.30 | $33.11 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $77.62 | Professional | TC · Technical part | $57.54 | $67.61 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $33.11 Typical High $33.88 | Professional | 26 · Professional part | $18.62 | $33.11 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $39.81 Typical High $44.67 | Facility | None | $38.02 | $39.81 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $147.91 | Professional | None (both parts) | $109.65 | $112.20 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $30.90 | $38.02 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $72.44 | $74.13 | $102.33 |
Blue Shield Setting Facility Modifier None Typical Low $223.87 Median $1,023.29 Typical High $1,584.89 | Facility | None | $223.87 | $1,023.29 | $1,584.89 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $117.49 | $169.82 | $229.09 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $39.81 | $46.77 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $93.33 | $134.90 | $190.55 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $181.97 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $218.78 Typical High $6,165.95 | Facility | None | $77.62 | $218.78 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $162.18 | Professional | None (both parts) | $89.13 | $104.71 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $36.31 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $57.54 | $69.18 | $114.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | None | $114.82 | $114.82 | $138.04 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $38.90 | Professional | 26 · Professional part | $28.84 | $31.62 | $38.90 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | TC · Technical part | $77.62 | $77.62 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $407.38 | Professional | None | $165.96 | $186.21 | $407.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $67.61 | Professional | 26 · Professional part | $25.12 | $33.11 | $67.61 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $912.01 | $912.01 | $912.01 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $363.08 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | TC · Technical part | $831.76 | $831.76 | $831.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
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 $44.67 Median $194.98 Typical High $239.88 | Facility | None | $44.67 | $194.98 | $239.88 |
Providence Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $89.13 | $104.71 | $154.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $35.48 | $47.86 |
Providence Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $104.71 | Professional | TC · Technical part | $57.54 | $69.18 | $104.71 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $120.23 | $173.78 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $36.31 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $93.33 | $138.04 | $239.88 |
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 $50.12 Median $87.10 Typical High $208.93 | Facility | 52 · Reduced service | $50.12 | $87.10 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $34.67 Typical High $91.20 | Facility | 53 · Discontinued | $19.95 | $34.67 | $91.20 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $79.43 Median $138.04 Typical High $331.13 | Facility | FX · Film X-ray | $79.43 | $138.04 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $50.12 Typical High $56.23 | Professional | 52 · Reduced service | $40.74 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $20.42 Typical High $22.39 | Professional | 53 · Discontinued | $16.22 | $20.42 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $81.28 Typical High $89.13 | Professional | FX · Film X-ray | $51.29 | $81.28 | $89.13 |
Where California sits
The same service costs 6.6 times more in Nebraska than in Florida. 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· 28th of 51
$123
NE $363FL $54.95
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.