How much rates vary
Facilitymedian $4,266 · 10th to 90th $240 to $12,589Professionalmedian $275 · 10th to 90th $166 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 $239.88 Median $269.15 Typical High $2,238.72 | Facility | None | $239.88 | $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 $190.55 Median $239.88 Typical High $269.15 | Professional | None (both parts) | $190.55 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $53.70 | $57.54 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $186.21 Typical High $204.17 | Professional | TC · Technical part | $134.90 | $186.21 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $870.96 Typical High $891.25 | Facility | None | $69.18 | $870.96 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $812.83 | Professional | None (both parts) | $194.98 | $275.42 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $199.53 | Professional | 26 · Professional part | $57.54 | $69.18 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $208.93 Typical High $575.44 | Professional | TC · Technical part | $144.54 | $208.93 | $575.44 |
Blue Shield Setting Facility Modifier None Typical Low $1,000.00 Median $3,890.45 Typical High $6,760.83 | Facility | None | $1,000.00 | $3,890.45 | $6,760.83 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $575.44 | Professional | None (both parts) | $251.19 | $354.81 | $575.44 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $57.54 | $83.18 | $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 $186.21 Median $245.47 Typical High $851.14 | Professional | None (both parts) | $186.21 | $245.47 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $7,943.28 Typical High $16,218.10 | Facility | None | $363.08 | $7,943.28 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $263.03 Typical High $691.83 | Professional | None (both parts) | $144.54 | $263.03 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $63.10 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $190.55 Typical High $537.03 | Professional | TC · Technical part | $95.50 | $190.55 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $295.12 | Professional | None | $144.54 | $218.78 | $295.12 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $44.67 | $60.26 | $81.28 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $158.49 Typical High $213.80 | Professional | TC · Technical part | $100.00 | $158.49 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $416.87 | Professional | None | $169.82 | $204.17 | $416.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $162.18 | Professional | 26 · Professional part | $53.70 | $72.44 | $162.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $426.58 | Professional | TC · Technical part | $125.89 | $181.97 | $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 $616.60 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $616.60 | $616.60 | $616.60 |
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 $66.07 Typical High $154.88 | Professional | None (both parts) | $33.11 | $66.07 | $154.88 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $5,370.32 Typical High $15,848.93 | Facility | None | $257.04 | $5,370.32 | $15,848.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $263.03 Typical High $691.83 | Professional | None (both parts) | $144.54 | $263.03 | $691.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $47.86 | $63.10 | $100.00 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $181.97 Typical High $537.03 | Professional | TC · Technical part | $95.50 | $181.97 | $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 $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 $363.08 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $363.08 | $363.08 | $363.08 |
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 $158.49 Median $194.98 Typical High $501.19 | Professional | None (both parts) | $158.49 | $194.98 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $57.54 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $398.11 | Professional | TC · Technical part | $104.71 | $128.82 | $398.11 |
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 $120.23 Median $234.42 Typical High $562.34 | Facility | 52 · Reduced service | $120.23 | $234.42 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $93.33 Typical High $223.87 | Facility | 53 · Discontinued | $48.98 | $93.33 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $194.98 Median $371.54 Typical High $891.25 | Facility | FX · Film X-ray | $194.98 | $371.54 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $75.86 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $48.98 Typical High $54.95 | Professional | 53 · Discontinued | $30.20 | $48.98 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $194.98 Typical High $218.78 | Professional | FX · Film X-ray | $120.23 | $194.98 | $218.78 |
Where California sits
The same service costs 4.0 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
$282
AK $479TX $120
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.