How much rates vary
Facilitymedian $1,023 · 10th to 90th $66 to $2,818Professionalmedian $214 · 10th to 90th $117 to $603
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 $125.89 Median $141.25 Typical High $2,238.72 | Facility | None | $125.89 | $141.25 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $218.78 Typical High $524.81 | Facility | TC · Technical part | $85.11 | $218.78 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $141.25 | Professional | None (both parts) | $107.15 | $125.89 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $42.66 | Professional | 26 · Professional part | $37.15 | $40.74 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $97.72 | Professional | TC · Technical part | $70.79 | $85.11 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $50.12 Typical High $56.23 | Facility | None | $47.86 | $50.12 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $138.04 | $141.25 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $47.86 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $91.20 | $93.33 | $128.82 |
Blue Shield Setting Facility Modifier None Typical Low $436.52 Median $1,995.26 Typical High $3,090.30 | Facility | None | $436.52 | $1,995.26 | $3,090.30 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $213.80 | $302.00 | $416.87 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $46.77 | $56.23 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $181.97 | $257.04 | $371.54 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $281.84 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $6,165.95 | Facility | None | $190.55 | $229.09 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $107.15 | $134.90 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $36.31 | $44.67 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $138.04 | Professional | TC · Technical part | $70.79 | $87.10 | $138.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | None | $131.83 | $131.83 | $158.49 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $42.66 | $46.77 | $57.54 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $95.50 | Professional | TC · Technical part | $79.43 | $79.43 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $549.54 | Professional | None | $309.03 | $346.74 | $549.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $38.90 | $48.98 | $97.72 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $1,621.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $794.33 | Professional | 26 · Professional part | $416.87 | $416.87 | $794.33 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $1,412.54 | $1,412.54 | $1,412.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
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 $79.43 Median $173.78 Typical High $426.58 | Facility | None | $79.43 | $173.78 | $426.58 |
Providence Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $107.15 | $131.83 | $199.53 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $36.31 | $44.67 | $58.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $70.79 | $87.10 | $128.82 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $281.84 Typical High $512.86 | Professional | None (both parts) | $194.98 | $281.84 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $31.62 | $44.67 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $426.58 | Professional | TC · Technical part | $165.96 | $234.42 | $426.58 |
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 $61.66 Median $109.65 Typical High $263.03 | Facility | 52 · Reduced service | $61.66 | $109.65 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $43.65 Typical High $112.20 | Facility | 53 · Discontinued | $25.12 | $43.65 | $112.20 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $100.00 Median $173.78 Typical High $416.87 | Facility | FX · Film X-ray | $100.00 | $173.78 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $53.70 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.12 Typical High $28.18 | Professional | 53 · Discontinued | $21.88 | $25.12 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $100.00 Typical High $112.20 | Professional | FX · Film X-ray | $83.18 | $100.00 | $112.20 |
Where California sits
The same service costs 5.2 times more in North Dakota 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· 19th of 51
$214
ND $457FL $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.