How much rates vary
Facilitymedian $4,786 · 10th to 90th $186 to $19,953Professionalmedian $229 · 10th to 90th $132 to $3,162
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 $218.78 Median $245.47 Typical High $2,238.72 | Facility | None | $218.78 | $245.47 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $416.87 Typical High $1,000.00 | Facility | TC · Technical part | $162.18 | $416.87 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $134.90 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $50.12 | $56.23 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $162.18 Typical High $181.97 | Professional | TC · Technical part | $81.28 | $162.18 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $616.60 Typical High $630.96 | Facility | None | $57.54 | $616.60 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $660.69 | Professional | None (both parts) | $169.82 | $229.09 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $208.93 | Professional | 26 · Professional part | $52.48 | $58.88 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $426.58 | Professional | TC · Technical part | $120.23 | $169.82 | $426.58 |
Blue Shield Setting Facility Modifier None Typical Low $1,258.93 Median $4,168.69 Typical High $7,943.28 | Facility | None | $1,258.93 | $4,168.69 | $7,943.28 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $416.87 | Professional | None (both parts) | $181.97 | $257.04 | $416.87 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $42.66 | $61.66 | $102.33 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $309.03 | Professional | TC · Technical part | $134.90 | $194.98 | $309.03 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $562.34 | Professional | None (both parts) | $131.83 | $173.78 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $11,748.98 Typical High $27,542.29 | Facility | None | $229.09 | $11,748.98 | $27,542.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $602.56 | Professional | None (both parts) | $117.49 | $208.93 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $46.77 | $60.26 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $147.91 Typical High $537.03 | Professional | TC · Technical part | $70.79 | $147.91 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $208.93 | Professional | None | $109.65 | $154.88 | $208.93 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $57.54 | $77.62 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $128.82 | Professional | TC · Technical part | $69.18 | $95.50 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $147.91 Typical High $295.12 | Professional | None | $120.23 | $147.91 | $295.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $154.88 | Professional | 26 · Professional part | $52.48 | $69.18 | $154.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $257.04 | Professional | TC · Technical part | $77.62 | $109.65 | $257.04 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $2,884.03 | $2,884.03 | $2,884.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $63.10 Typical High $125.89 | Professional | None (both parts) | $33.11 | $63.10 | $125.89 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $8,511.38 Typical High $26,302.68 | Facility | None | $218.78 | $8,511.38 | $26,302.68 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $602.56 | Professional | None (both parts) | $117.49 | $208.93 | $602.56 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $46.77 | $60.26 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $151.36 Typical High $537.03 | Professional | TC · Technical part | $70.79 | $151.36 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $251.19 | $251.19 | $251.19 |
United Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $14,125.38 | Facility | None | $9,120.11 | $9,120.11 | $14,125.38 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $446.68 | Professional | None (both parts) | $123.03 | $158.49 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $56.23 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $346.74 | Professional | TC · Technical part | $70.79 | $93.33 | $346.74 |
7 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 $107.15 Median $208.93 Typical High $501.19 | Facility | 52 · Reduced service | $107.15 | $208.93 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $83.18 Typical High $199.53 | Facility | 53 · Discontinued | $43.65 | $83.18 | $199.53 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $173.78 Median $331.13 Typical High $794.33 | Facility | FX · Film X-ray | $173.78 | $331.13 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $107.15 Typical High $123.03 | Professional | 52 · Reduced service | $57.54 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $43.65 Typical High $48.98 | Professional | 53 · Discontinued | $22.91 | $43.65 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $173.78 Typical High $194.98 | Professional | FX · Film X-ray | $91.20 | $173.78 | $194.98 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 59 · Distinct service | $128.82 | $128.82 | $128.82 |
Where California sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 15th of 51
$229
AK $372UT $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.