How much rates vary
Facilitymedian $4,365 · 10th to 90th $275 to $12,589Professionalmedian $309 · 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 $275.42 Median $309.03 Typical High $2,238.72 | Facility | None | $275.42 | $309.03 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $537.03 Typical High $1,288.25 | Facility | TC · Technical part | $208.93 | $537.03 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $275.42 Typical High $309.03 | Professional | None (both parts) | $162.18 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $66.07 | Professional | 26 · Professional part | $56.23 | $63.10 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $208.93 Typical High $245.47 | Professional | TC · Technical part | $104.71 | $208.93 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $912.01 Typical High $933.25 | Facility | None | $67.61 | $912.01 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $831.76 | Professional | None (both parts) | $218.78 | $281.84 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $295.12 | Professional | 26 · Professional part | $60.26 | $70.79 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $616.60 | Professional | TC · Technical part | $162.18 | $213.80 | $616.60 |
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 $245.47 Median $354.81 Typical High $575.44 | Professional | None (both parts) | $245.47 | $354.81 | $575.44 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $81.28 | $138.04 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $190.55 | $275.42 | $436.52 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $562.34 | Professional | None (both parts) | $194.98 | $257.04 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $7,943.28 Typical High $16,218.10 | Facility | None | $380.19 | $7,943.28 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $288.40 Typical High $707.95 | Professional | None (both parts) | $154.88 | $288.40 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $131.83 | Professional | 26 · Professional part | $53.70 | $69.18 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $204.17 Typical High $549.54 | Professional | TC · Technical part | $102.33 | $204.17 | $549.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $309.03 | Professional | None | $154.88 | $229.09 | $309.03 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $51.29 | $69.18 | $93.33 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $162.18 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $162.18 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $436.52 | Professional | None | $177.83 | $213.80 | $436.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $186.21 | Professional | 26 · Professional part | $61.66 | $83.18 | $186.21 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $186.21 Typical High $426.58 | Professional | TC · Technical part | $128.82 | $186.21 | $426.58 |
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 $691.83 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $691.83 | $691.83 | $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 $60.26 Typical High $165.96 | Professional | None (both parts) | $33.11 | $60.26 | $165.96 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $5,370.32 Typical High $15,848.93 | Facility | None | $275.42 | $5,370.32 | $15,848.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $154.88 Median $288.40 Typical High $707.95 | Professional | None (both parts) | $154.88 | $288.40 | $707.95 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $69.18 | $114.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $204.17 Typical High $549.54 | Professional | TC · Technical part | $102.33 | $204.17 | $549.54 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $380.19 | $380.19 | $380.19 |
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 $169.82 Median $208.93 Typical High $537.03 | Professional | None (both parts) | $169.82 | $208.93 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $64.57 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $407.38 | Professional | TC · Technical part | $107.15 | $138.04 | $407.38 |
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 $138.04 Median $269.15 Typical High $645.65 | Facility | 52 · Reduced service | $138.04 | $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 $81.28 Median $138.04 Typical High $154.88 | Professional | 52 · Reduced service | $81.28 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $54.95 Typical High $61.66 | Professional | 53 · Discontinued | $32.36 | $54.95 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $218.78 Typical High $245.47 | Professional | FX · Film X-ray | $128.82 | $218.78 | $245.47 |
Where California sits
The same service costs 4.4 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· 15th of 51
$316
AK $513TX $117
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.