How much rates vary
Facilitymedian $501 · 10th to 90th $102 to $2,239Professionalmedian $234 · 10th to 90th $65 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 $245.47 Median $281.84 Typical High $2,238.72 | Facility | None | $245.47 | $281.84 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $602.56 Typical High $1,445.44 | Facility | TC · Technical part | $239.88 | $602.56 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $478.63 | Professional | None (both parts) | $218.78 | $245.47 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $26.30 | Professional | 26 · Professional part | $22.39 | $25.12 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $239.88 Typical High $467.74 | Professional | TC · Technical part | $208.93 | $239.88 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $30.90 Typical High $33.88 | Facility | None | $28.84 | $30.90 | $33.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $223.87 | $257.04 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $85.11 | Professional | 26 · Professional part | $23.99 | $29.51 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $229.09 Typical High $302.00 | Professional | TC · Technical part | $204.17 | $229.09 | $302.00 |
Blue Shield Setting Facility Modifier None Typical Low $123.03 Median $416.87 Typical High $776.25 | Facility | None | $123.03 | $416.87 | $776.25 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $61.66 Median $87.10 Typical High $144.54 | Professional | None (both parts) | $61.66 | $87.10 | $144.54 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $20.89 | $30.20 | $51.29 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $58.88 Typical High $97.72 | Professional | TC · Technical part | $40.74 | $58.88 | $97.72 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $81.28 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $1,230.27 Typical High $2,884.03 | Facility | None | $112.20 | $1,230.27 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $61.66 | $81.28 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $27.54 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $53.70 Typical High $97.72 | Professional | TC · Technical part | $40.74 | $53.70 | $97.72 |
Contra Costa Health Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $52.48 | Professional | None | $43.65 | $43.65 | $52.48 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $28.18 Typical High $38.02 | Professional | 26 · Professional part | $14.79 | $28.18 | $38.02 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | TC · Technical part | $28.84 | $28.84 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $91.20 Typical High $194.98 | Professional | None | $74.13 | $91.20 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $75.86 | Professional | 26 · Professional part | $25.12 | $33.88 | $75.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $954.99 | $954.99 | $954.99 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $204.17 | Professional | 26 · Professional part | $158.49 | $158.49 | $204.17 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $912.01 | $912.01 | $912.01 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | None (both parts) | $25.12 | $25.12 | $33.11 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $933.25 Typical High $2,691.53 | Facility | None | $104.71 | $933.25 | $2,691.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $61.66 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $61.66 | $81.28 | $134.90 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $45.71 | Professional | 26 · Professional part | $21.88 | $27.54 | $45.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $53.70 Typical High $93.33 | Professional | TC · Technical part | $40.74 | $53.70 | $93.33 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
United Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,380.38 | Facility | None | $891.25 | $891.25 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $512.86 Typical High $1,148.15 | Professional | None (both parts) | $63.10 | $512.86 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $21.38 | $26.92 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $478.63 Typical High $1,096.48 | Professional | TC · Technical part | $40.74 | $478.63 | $1,096.48 |
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 $123.03 Median $302.00 Typical High $724.44 | Facility | 52 · Reduced service | $123.03 | $302.00 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $120.23 Typical High $288.40 | Facility | 53 · Discontinued | $48.98 | $120.23 | $288.40 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $199.53 Median $489.78 Typical High $1,174.90 | Facility | FX · Film X-ray | $199.53 | $489.78 | $1,174.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $123.03 Typical High $239.88 | Professional | 52 · Reduced service | $109.65 | $123.03 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $48.98 Typical High $95.50 | Professional | 53 · Discontinued | $43.65 | $48.98 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $199.53 Typical High $380.19 | Professional | FX · Film X-ray | $173.78 | $199.53 | $380.19 |
Where California sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 23rd of 51
$245
CO $661MI $75.86
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.