How much rates vary
Facilitymedian $2,344 · 10th to 90th $427 to $13,183Professionalmedian $427 · 10th to 90th $263 to $5,370
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 $446.68 Median $512.86 Typical High $2,238.72 | Facility | None | $446.68 | $512.86 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $426.58 Median $1,071.52 Typical High $2,570.40 | Facility | TC · Technical part | $426.58 | $1,071.52 | $2,570.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $446.68 Typical High $2,454.71 | Professional | None (both parts) | $389.05 | $446.68 | $2,454.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $48.98 | $54.95 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $426.58 Typical High $2,398.83 | Professional | TC · Technical part | $371.54 | $426.58 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $60.26 Typical High $66.07 | Facility | None | $56.23 | $60.26 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $416.87 Typical High $794.33 | Professional | None (both parts) | $407.38 | $416.87 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $218.78 | Professional | 26 · Professional part | $50.12 | $57.54 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $363.08 Typical High $676.08 | Professional | TC · Technical part | $354.81 | $363.08 | $676.08 |
Blue Shield Setting Facility Modifier None Typical Low $602.56 Median $1,949.84 Typical High $3,311.31 | Facility | None | $602.56 | $1,949.84 | $3,311.31 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $245.47 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $245.47 | $354.81 | $588.84 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $69.18 | $117.49 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $288.40 Typical High $478.63 | Professional | TC · Technical part | $199.53 | $288.40 | $478.63 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $257.04 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $7,079.46 Typical High $16,595.87 | Facility | None | $524.81 | $7,079.46 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $257.04 | $323.59 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $60.26 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $478.63 | Professional | TC · Technical part | $208.93 | $263.03 | $478.63 |
Contra Costa Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | None | $138.04 | $138.04 | $165.96 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $54.95 | $63.10 | $77.62 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $100.00 | Professional | TC · Technical part | $83.18 | $83.18 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $724.44 | Professional | None | $295.12 | $363.08 | $724.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $154.88 | Professional | 26 · Professional part | $51.29 | $69.18 | $154.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None (both parts) | $5,370.32 | $5,370.32 | $5,370.32 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $524.81 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | TC · Technical part | $5,248.07 | $5,248.07 | $5,248.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $33.11 | $33.11 | $57.54 |
Providence Setting Facility Modifier None Typical Low $426.58 Median $5,370.32 Typical High $15,848.93 | Facility | None | $426.58 | $5,370.32 | $15,848.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $741.31 | Professional | None (both parts) | $257.04 | $323.59 | $741.31 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $58.88 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $208.93 | $257.04 | $457.09 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $181.97 | $181.97 | $181.97 |
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 $239.88 Median $2,818.38 Typical High $6,309.57 | Professional | None (both parts) | $239.88 | $2,818.38 | $6,309.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $57.54 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $2,754.23 Typical High $6,309.57 | Professional | TC · Technical part | $194.98 | $2,754.23 | $6,309.57 |
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 $218.78 Median $537.03 Typical High $1,288.25 | Facility | 52 · Reduced service | $218.78 | $537.03 | $1,288.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $89.13 Median $213.80 Typical High $512.86 | Facility | 53 · Discontinued | $89.13 | $213.80 | $512.86 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $354.81 Median $851.14 Typical High $2,041.74 | Facility | FX · Film X-ray | $354.81 | $851.14 | $2,041.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $218.78 Typical High $1,318.26 | Professional | 52 · Reduced service | $194.98 | $218.78 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $89.13 Typical High $524.81 | Professional | 53 · Discontinued | $77.62 | $89.13 | $524.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $354.81 Typical High $2,089.30 | Professional | FX · Film X-ray | $309.03 | $354.81 | $2,089.30 |
Where California sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 36th of 51
$427
CO $3,890NJ $257
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.