How much rates vary
Facilitymedian $724 · 10th to 90th $145 to $1,905Professionalmedian $186 · 10th to 90th $91 to $692
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 $165.96 Median $218.78 Typical High $2,238.72 | Facility | None | $165.96 | $218.78 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $426.58 Typical High $1,122.02 | Facility | TC · Technical part | $181.97 | $426.58 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $93.33 | $186.21 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.20 Typical High $39.81 | Professional | 26 · Professional part | $15.85 | $18.20 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $181.97 Typical High $239.88 | Professional | TC · Technical part | $66.07 | $181.97 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.99 Typical High $42.66 | Professional | 26 · Professional part | $23.44 | $23.99 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $416.87 Typical High $436.52 | Facility | None | $19.95 | $416.87 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $173.78 | $204.17 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.42 Typical High $69.18 | Professional | 26 · Professional part | $19.05 | $20.42 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $144.54 | $186.21 | $281.84 |
Blue Shield Setting Facility Modifier None Typical Low $257.04 Median $812.83 Typical High $1,318.26 | Facility | None | $257.04 | $812.83 | $1,318.26 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $100.00 | $141.25 | $234.42 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.95 Typical High $34.67 | Professional | 26 · Professional part | $14.13 | $19.95 | $34.67 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $85.11 | $123.03 | $204.17 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $89.13 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $912.01 Typical High $2,290.87 | Facility | None | $169.82 | $912.01 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $81.28 | $128.82 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.95 Typical High $45.71 | Professional | 26 · Professional part | $15.49 | $19.95 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $60.26 | $109.65 | $190.55 |
Contra Costa Health Setting Professional Modifier None Typical Low $56.23 Median $107.15 Typical High $144.54 | Professional | None | $56.23 | $107.15 | $144.54 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $18.62 | $28.84 | $38.90 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $79.43 Typical High $107.15 | Professional | TC · Technical part | $38.02 | $79.43 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $204.17 | Professional | None | $83.18 | $100.00 | $204.17 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $25.12 | $33.88 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $213.80 | Professional | TC · Technical part | $63.10 | $91.20 | $213.80 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $707.95 | Professional | None (both parts) | $691.83 | $691.83 | $707.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $204.17 | Professional | 26 · Professional part | $154.88 | $154.88 | $204.17 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $630.96 | Professional | TC · Technical part | $602.56 | $602.56 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $33.11 | Professional | None (both parts) | $28.84 | $28.84 | $33.11 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $645.65 Typical High $2,089.30 | Facility | None | $147.91 | $645.65 | $2,089.30 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $93.33 | $128.82 | $213.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.05 Typical High $38.90 | Professional | 26 · Professional part | $15.49 | $19.05 | $38.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $67.61 | $109.65 | $181.97 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $162.18 | $162.18 | $162.18 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $891.25 | Facility | None | $575.44 | $575.44 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $295.12 | Professional | None (both parts) | $75.86 | $91.20 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $25.70 Typical High $48.98 | Professional | 26 · Professional part | $14.45 | $25.70 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $67.61 Typical High $239.88 | Professional | TC · Technical part | $48.98 | $67.61 | $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 $93.33 Median $234.42 Typical High $562.34 | Facility | 52 · Reduced service | $93.33 | $234.42 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $93.33 Typical High $245.47 | Facility | 53 · Discontinued | $38.02 | $93.33 | $245.47 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $371.54 Typical High $891.25 | Facility | FX · Film X-ray | $151.36 | $371.54 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $93.33 Typical High $107.15 | Professional | 52 · Reduced service | $38.90 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $38.02 Typical High $43.65 | Professional | 53 · Discontinued | $15.49 | $38.02 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $151.36 Typical High $173.78 | Professional | FX · Film X-ray | $58.88 | $151.36 | $173.78 |
Where California sits
The same service costs 5.4 times more in New York 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· 6th of 51
$186
NY $355TX $66.07
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.