How much rates vary
Facilitymedian $3,981 · 10th to 90th $214 to $12,023Professionalmedian $240 · 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 $213.80 Median $239.88 Typical High $2,238.72 | Facility | None | $213.80 | $239.88 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $407.38 Typical High $977.24 | Facility | TC · Technical part | $158.49 | $407.38 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $239.88 | Professional | None (both parts) | $181.97 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $46.77 | $54.95 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $181.97 | Professional | TC · Technical part | $134.90 | $158.49 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $954.99 Typical High $977.24 | Facility | None | $56.23 | $954.99 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $794.33 | Professional | None (both parts) | $165.96 | $223.87 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $281.84 | Professional | 26 · Professional part | $54.95 | $57.54 | $281.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $169.82 Typical High $575.44 | Professional | TC · Technical part | $117.49 | $169.82 | $575.44 |
Blue Shield Setting Facility Modifier None Typical Low $1,000.00 Median $3,801.89 Typical High $6,165.95 | Facility | None | $1,000.00 | $3,801.89 | $6,165.95 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $407.38 | Professional | None (both parts) | $177.83 | $251.19 | $407.38 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $60.26 | $102.33 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $309.03 | Professional | TC · Technical part | $134.90 | $194.98 | $309.03 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $269.15 Typical High $1,023.29 | Professional | None (both parts) | $199.53 | $269.15 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $7,079.46 Typical High $16,595.87 | Facility | None | $354.81 | $7,079.46 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $245.47 Typical High $660.69 | Professional | None (both parts) | $125.89 | $245.47 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $125.89 | Professional | 26 · Professional part | $47.86 | $58.88 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $169.82 Typical High $537.03 | Professional | TC · Technical part | $79.43 | $169.82 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $134.90 Median $239.88 Typical High $323.59 | Professional | None | $134.90 | $239.88 | $323.59 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $69.18 | $93.33 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $85.11 | $169.82 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $223.87 Typical High $457.09 | Professional | None | $181.97 | $223.87 | $457.09 |
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 $138.04 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $138.04 | $194.98 | $457.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | 26 · Professional part | $489.78 | $489.78 | $537.03 |
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 $70.79 Typical High $147.91 | Professional | None (both parts) | $33.11 | $70.79 | $147.91 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $4,365.16 Typical High $15,848.93 | Facility | None | $251.19 | $4,365.16 | $15,848.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $131.83 Median $257.04 Typical High $645.65 | Professional | None (both parts) | $131.83 | $257.04 | $645.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $47.86 | $58.88 | $104.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $165.96 Typical High $537.03 | Professional | TC · Technical part | $79.43 | $165.96 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $199.53 | $199.53 | $199.53 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $407.38 | $407.38 | $407.38 |
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 $151.36 Median $186.21 Typical High $501.19 | Professional | None (both parts) | $151.36 | $186.21 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $44.67 | $64.57 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $398.11 | Professional | TC · Technical part | $95.50 | $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 $104.71 Median $204.17 Typical High $489.78 | Facility | 52 · Reduced service | $104.71 | $204.17 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $81.28 Typical High $213.80 | Facility | 53 · Discontinued | $42.66 | $81.28 | $213.80 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $169.82 Median $323.59 Typical High $776.25 | Facility | FX · Film X-ray | $169.82 | $323.59 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $104.71 Typical High $120.23 | Professional | 52 · Reduced service | $75.86 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $42.66 Typical High $47.86 | Professional | 53 · Discontinued | $30.20 | $42.66 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $169.82 Typical High $190.55 | Professional | FX · Film X-ray | $120.23 | $169.82 | $190.55 |
Where California sits
The same service costs 3.8 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· 24th of 51
$245
AK $468UT $123
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.