How much rates vary
Facilitymedian $468 · 10th to 90th $117 to $1,202Professionalmedian $204 · 10th to 90th $79 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 $190.55 Median $218.78 Typical High $2,238.72 | Facility | None | $190.55 | $218.78 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $467.74 Typical High $1,122.02 | Facility | TC · Technical part | $181.97 | $467.74 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $162.18 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $30.20 | Professional | 26 · Professional part | $25.70 | $28.84 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $218.78 | Professional | TC · Technical part | $154.88 | $181.97 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $35.48 Typical High $38.90 | Facility | None | $33.11 | $35.48 | $38.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $213.80 Typical High $275.42 | Professional | None (both parts) | $138.04 | $213.80 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $33.88 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $181.97 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $181.97 | $229.09 |
Blue Shield Setting Facility Modifier None Typical Low $144.54 Median $467.74 Typical High $758.58 | Facility | None | $144.54 | $467.74 | $758.58 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $70.79 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $70.79 | $100.00 | $165.96 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $24.55 | $35.48 | $58.88 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $47.86 | $69.18 | $114.82 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $104.71 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $616.60 Typical High $1,412.54 | Facility | None | $144.54 | $616.60 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $74.13 | $97.72 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $32.36 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $114.82 | Professional | TC · Technical part | $48.98 | $63.10 | $114.82 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $44.67 | Professional | 26 · Professional part | $33.11 | $36.31 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $229.09 | Professional | None | $87.10 | $104.71 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $87.10 | Professional | 26 · Professional part | $28.84 | $38.90 | $87.10 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $691.83 | Professional | None (both parts) | $562.34 | $562.34 | $691.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $239.88 | Professional | 26 · Professional part | $194.98 | $194.98 | $239.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $524.81 | $524.81 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $33.11 | Professional | None (both parts) | $29.51 | $29.51 | $33.11 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $436.52 Typical High $1,288.25 | Facility | None | $123.03 | $436.52 | $1,288.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $154.88 | Professional | None (both parts) | $74.13 | $93.33 | $154.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $31.62 | $54.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $109.65 | Professional | TC · Technical part | $48.98 | $61.66 | $109.65 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $602.56 | Facility | None | $389.05 | $389.05 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $263.03 Typical High $575.44 | Professional | None (both parts) | $72.44 | $263.03 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $31.62 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $234.42 Typical High $524.81 | Professional | TC · Technical part | $48.98 | $234.42 | $524.81 |
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 $95.50 Median $234.42 Typical High $562.34 | Facility | 52 · Reduced service | $95.50 | $234.42 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $93.33 Typical High $245.47 | Facility | 53 · Discontinued | $38.90 | $93.33 | $245.47 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $154.88 Median $371.54 Typical High $891.25 | Facility | FX · Film X-ray | $154.88 | $371.54 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $81.28 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.90 Typical High $45.71 | Professional | 53 · Discontinued | $32.36 | $38.90 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $154.88 Typical High $181.97 | Professional | FX · Film X-ray | $128.82 | $154.88 | $181.97 |
Where California sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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
NE $389HI $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.