How much rates vary
Facilitymedian $4,365 · 10th to 90th $200 to $12,589Professionalmedian $245 · 10th to 90th $166 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 $234.42 Median $269.15 Typical High $2,238.72 | Facility | None | $234.42 | $269.15 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $467.74 Typical High $1,122.02 | Facility | TC · Technical part | $186.21 | $467.74 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $165.96 | $234.42 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $57.54 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $186.21 Typical High $257.04 | Professional | TC · Technical part | $81.28 | $186.21 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | 26 · Professional part | $77.62 | $77.62 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $758.58 Typical High $776.25 | Facility | None | $56.23 | $758.58 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $239.88 Typical High $741.31 | Professional | None (both parts) | $190.55 | $239.88 | $741.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $316.23 | Professional | 26 · Professional part | $54.95 | $58.88 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $186.21 Typical High $436.52 | Professional | TC · Technical part | $141.25 | $186.21 | $436.52 |
Blue Shield Setting Facility Modifier None Typical Low $1,258.93 Median $4,168.69 Typical High $7,079.46 | Facility | None | $1,258.93 | $4,168.69 | $7,079.46 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $190.55 | $275.42 | $436.52 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $41.69 | $58.88 | $104.71 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $213.80 Typical High $338.84 | Professional | TC · Technical part | $141.25 | $213.80 | $338.84 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $562.34 | Professional | None (both parts) | $162.18 | $204.17 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $7,943.28 Typical High $16,218.10 | Facility | None | $229.09 | $7,943.28 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $251.19 Typical High $676.08 | Professional | None (both parts) | $138.04 | $251.19 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $151.36 | Professional | 26 · Professional part | $46.77 | $63.10 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $165.96 Typical High $537.03 | Professional | TC · Technical part | $81.28 | $165.96 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $134.90 Median $186.21 Typical High $251.19 | Professional | None | $134.90 | $186.21 | $251.19 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $44.67 | $87.10 | $117.49 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $128.82 | Professional | TC · Technical part | $91.20 | $107.15 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $363.08 | Professional | None | $144.54 | $181.97 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $234.42 | Professional | 26 · Professional part | $79.43 | $104.71 | $234.42 |
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 $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $3,162.28 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $691.83 | Professional | 26 · Professional part | $549.54 | $549.54 | $691.83 |
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 $93.33 Typical High $173.78 | Professional | None (both parts) | $33.11 | $93.33 | $173.78 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $5,370.32 Typical High $15,848.93 | Facility | None | $229.09 | $5,370.32 | $15,848.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $138.04 Median $251.19 Typical High $676.08 | Professional | None (both parts) | $138.04 | $251.19 | $676.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $46.77 | $60.26 | $125.89 |
Providence Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $177.83 Typical High $537.03 | Professional | TC · Technical part | $81.28 | $177.83 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $263.03 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $7,943.28 | Facility | None | $5,128.61 | $5,128.61 | $7,943.28 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $489.78 | Professional | None (both parts) | $147.91 | $186.21 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $44.67 | $89.13 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $363.08 | Professional | TC · Technical part | $72.44 | $97.72 | $363.08 |
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 $117.49 Median $234.42 Typical High $562.34 | Facility | 52 · Reduced service | $117.49 | $234.42 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $93.33 Typical High $223.87 | Facility | 53 · Discontinued | $46.77 | $93.33 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $190.55 Median $371.54 Typical High $891.25 | Facility | FX · Film X-ray | $190.55 | $371.54 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $117.49 Typical High $131.83 | Professional | 52 · Reduced service | $70.79 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $46.77 Typical High $53.70 | Professional | 53 · Discontinued | $28.18 | $46.77 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $190.55 Typical High $213.80 | Professional | FX · Film X-ray | $112.20 | $190.55 | $213.80 |
Where California sits
The same service costs 4.1 times more in Alaska 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· 14th of 51
$251
AK $468TX $115
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.