How much rates vary
Facilitymedian $4,365 · 10th to 90th $234 to $12,589Professionalmedian $282 · 10th to 90th $178 to $3,236
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 $269.15 Median $309.03 Typical High $2,238.72 | Facility | None | $269.15 | $309.03 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $537.03 Typical High $1,288.25 | Facility | TC · Technical part | $213.80 | $537.03 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $177.83 | $269.15 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $66.07 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $85.11 | $213.80 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $831.76 Typical High $851.14 | Facility | None | $64.57 | $831.76 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $812.83 | Professional | None (both parts) | $223.87 | $275.42 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $389.05 | Professional | 26 · Professional part | $63.10 | $69.18 | $389.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $457.09 | Professional | TC · Technical part | $165.96 | $208.93 | $457.09 |
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 $218.78 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $218.78 | $316.23 | $501.19 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $69.18 | $120.23 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $245.47 Typical High $380.19 | Professional | TC · Technical part | $154.88 | $245.47 | $380.19 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $562.34 | Professional | None (both parts) | $173.78 | $223.87 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $7,943.28 Typical High $16,218.10 | Facility | None | $239.88 | $7,943.28 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $707.95 | Professional | None (both parts) | $158.49 | $275.42 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $169.82 | Professional | 26 · Professional part | $56.23 | $72.44 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $194.98 Typical High $537.03 | Professional | TC · Technical part | $83.18 | $194.98 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $269.15 | Professional | None | $147.91 | $199.53 | $269.15 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $100.00 Typical High $134.90 | Professional | 26 · Professional part | $46.77 | $100.00 | $134.90 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $138.04 | Professional | TC · Technical part | $100.00 | $112.20 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $398.11 | Professional | None | $158.49 | $194.98 | $398.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $269.15 | Professional | 26 · Professional part | $89.13 | $120.23 | $269.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $269.15 | Professional | TC · Technical part | $81.28 | $117.49 | $269.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $758.58 | Professional | 26 · Professional part | $676.08 | $676.08 | $758.58 |
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 $107.15 Typical High $190.55 | Professional | None (both parts) | $33.11 | $107.15 | $190.55 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $5,370.32 Typical High $15,848.93 | Facility | None | $245.47 | $5,370.32 | $15,848.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $158.49 Median $281.84 Typical High $707.95 | Professional | None (both parts) | $158.49 | $281.84 | $707.95 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $144.54 | Professional | 26 · Professional part | $56.23 | $67.61 | $144.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $208.93 Typical High $537.03 | Professional | TC · Technical part | $85.11 | $208.93 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $302.00 | $302.00 | $302.00 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $269.15 | $269.15 | $269.15 |
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 $165.96 Median $208.93 Typical High $524.81 | Professional | None (both parts) | $165.96 | $208.93 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $97.72 Typical High $181.97 | Professional | 26 · Professional part | $51.29 | $97.72 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $380.19 | Professional | TC · Technical part | $75.86 | $102.33 | $380.19 |
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 $134.90 Median $269.15 Typical High $645.65 | Facility | 52 · Reduced service | $134.90 | $269.15 | $645.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $107.15 Typical High $257.04 | Facility | 53 · Discontinued | $54.95 | $107.15 | $257.04 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $218.78 Median $426.58 Typical High $1,023.29 | Facility | FX · Film X-ray | $218.78 | $426.58 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $134.90 Typical High $154.88 | Professional | 52 · Reduced service | $75.86 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $54.95 Typical High $61.66 | Professional | 53 · Discontinued | $30.90 | $54.95 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $218.78 Typical High $245.47 | Professional | FX · Film X-ray | $123.03 | $218.78 | $245.47 |
Where California sits
The same service costs 5.1 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
$282
AK $513UT $100
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.