How much rates vary
Facilitymedian $437 · 10th to 90th $66 to $1,288Professionalmedian $158 · 10th to 90th $117 to $851
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 $144.54 Median $162.18 Typical High $2,238.72 | Facility | None | $144.54 | $162.18 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $275.42 Typical High $660.69 | Facility | TC · Technical part | $107.15 | $275.42 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $162.18 | Professional | None (both parts) | $123.03 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $37.15 | Professional | 26 · Professional part | $32.36 | $35.48 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $123.03 | Professional | TC · Technical part | $91.20 | $107.15 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $43.65 Typical High $47.86 | Facility | None | $40.74 | $43.65 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $154.88 | $158.49 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $41.69 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $114.82 | $117.49 | $138.04 |
Blue Shield Setting Facility Modifier None Typical Low $186.21 Median $851.14 Typical High $1,318.26 | Facility | None | $186.21 | $851.14 | $1,318.26 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $107.15 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $107.15 | $154.88 | $204.17 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $50.12 | Professional | 26 · Professional part | $29.51 | $41.69 | $50.12 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $112.20 Typical High $158.49 | Professional | TC · Technical part | $77.62 | $112.20 | $158.49 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $169.82 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $218.78 Typical High $6,165.95 | Facility | None | $120.23 | $218.78 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $125.89 | $151.36 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $38.02 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $162.18 | Professional | TC · Technical part | $91.20 | $112.20 | $162.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | None | $102.33 | $102.33 | $123.03 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $48.98 | Professional | 26 · Professional part | $40.74 | $44.67 | $48.98 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | TC · Technical part | $61.66 | $61.66 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $371.54 | Professional | None | $154.88 | $169.82 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $46.77 | $95.50 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,122.02 | Professional | None (both parts) | $851.14 | $851.14 | $1,122.02 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $288.40 | $295.12 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | TC · Technical part | $630.96 | $630.96 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
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 $70.79 Median $181.97 Typical High $245.47 | Facility | None | $70.79 | $181.97 | $245.47 |
Providence Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $125.89 | $151.36 | $208.93 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $51.29 | Professional | 26 · Professional part | $32.36 | $38.02 | $51.29 |
Providence Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $158.49 | Professional | TC · Technical part | $91.20 | $112.20 | $158.49 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $104.71 | $154.88 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $38.90 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $79.43 | $114.82 | $199.53 |
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 $72.44 Median $138.04 Typical High $331.13 | Facility | 52 · Reduced service | $72.44 | $138.04 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $54.95 Typical High $144.54 | Facility | 53 · Discontinued | $28.84 | $54.95 | $144.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $114.82 Median $218.78 Typical High $524.81 | Facility | FX · Film X-ray | $114.82 | $218.78 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $72.44 Typical High $79.43 | Professional | 52 · Reduced service | $61.66 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.84 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $28.84 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $114.82 Typical High $128.82 | Professional | FX · Film X-ray | $97.72 | $114.82 | $128.82 |
Where California sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 26th of 51
$158
AK $389DC $87.10
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.