How much rates vary
Facilitymedian $513 · 10th to 90th $66 to $1,549Professionalmedian $186 · 10th to 90th $138 to $955
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 $169.82 Median $190.55 Typical High $2,238.72 | Facility | None | $169.82 | $190.55 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $309.03 Typical High $776.25 | Facility | TC · Technical part | $125.89 | $309.03 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $151.36 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $46.77 | Professional | 26 · Professional part | $29.51 | $42.66 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $141.25 | Professional | TC · Technical part | $112.20 | $125.89 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $5.75 Typical High $67.61 | Professional | 26 · Professional part | $5.37 | $5.75 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $51.29 Typical High $56.23 | Facility | None | $47.86 | $51.29 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $181.97 | $186.21 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $38.90 | $48.98 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $158.49 | Professional | TC · Technical part | $134.90 | $138.04 | $158.49 |
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 $125.89 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $125.89 | $177.83 | $239.88 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $60.26 | Professional | 26 · Professional part | $35.48 | $50.12 | $60.26 |
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 $194.98 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $194.98 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $218.78 Typical High $6,165.95 | Facility | None | $144.54 | $218.78 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $257.04 | Professional | None (both parts) | $147.91 | $173.78 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $38.90 | $45.71 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $128.82 | $194.98 |
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 $32.36 Median $35.48 Typical High $43.65 | Professional | 26 · Professional part | $32.36 | $35.48 | $43.65 |
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 $169.82 Median $190.55 Typical High $416.87 | Professional | None | $169.82 | $190.55 | $416.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $75.86 | Professional | 26 · Professional part | $28.18 | $37.15 | $75.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $977.24 | Professional | None (both parts) | $954.99 | $954.99 | $977.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 26 · Professional part | $380.19 | $380.19 | $380.19 |
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 $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
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 $56.23 Median $218.78 Typical High $275.42 | Facility | None | $56.23 | $218.78 | $275.42 |
Providence Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $147.91 | $173.78 | $245.47 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $45.71 | $61.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $181.97 | Professional | TC · Technical part | $109.65 | $128.82 | $181.97 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $125.89 | $186.21 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $45.71 Typical High $54.95 | Professional | 26 · Professional part | $27.54 | $45.71 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $95.50 | $138.04 | $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 $85.11 Median $162.18 Typical High $389.05 | Facility | 52 · Reduced service | $85.11 | $162.18 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $64.57 Typical High $169.82 | Facility | 53 · Discontinued | $33.88 | $64.57 | $169.82 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $134.90 Median $257.04 Typical High $616.60 | Facility | FX · Film X-ray | $134.90 | $257.04 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $85.11 Typical High $93.33 | Professional | 52 · Reduced service | $67.61 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $33.88 Typical High $38.02 | Professional | 53 · Discontinued | $26.92 | $33.88 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $134.90 Typical High $151.36 | Professional | FX · Film X-ray | $79.43 | $134.90 | $151.36 |
Where California sits
The same service costs 4.2 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· 15th of 51
$186
NE $380FL $91.20
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.