How much rates vary
Facilitymedian $417 · 10th to 90th $115 to $2,884Professionalmedian $135 · 10th to 90th $98 to $851
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 $173.78 Median $199.53 Typical High $2,238.72 | Facility | None | $173.78 | $199.53 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $363.08 Typical High $870.96 | Facility | TC · Technical part | $141.25 | $363.08 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $173.78 Typical High $199.53 | Professional | None (both parts) | $104.71 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $34.67 | Professional | 26 · Professional part | $29.51 | $33.11 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $141.25 Typical High $162.18 | Professional | TC · Technical part | $74.13 | $141.25 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $549.54 Typical High $562.34 | Facility | None | $33.88 | $549.54 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $398.11 | Professional | None (both parts) | $117.49 | $123.03 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $169.82 | Professional | 26 · Professional part | $33.11 | $34.67 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $89.13 Typical High $281.84 | Professional | TC · Technical part | $83.18 | $89.13 | $281.84 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $338.84 Typical High $1,202.26 | Facility | None | $97.72 | $338.84 | $1,202.26 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $93.33 | $134.90 | $223.87 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $35.48 | $61.66 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $69.18 | $97.72 | $162.18 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $117.49 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $1,584.89 Typical High $3,467.37 | Facility | None | $251.19 | $1,584.89 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $281.84 | Professional | None (both parts) | $91.20 | $134.90 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $36.31 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $102.33 Typical High $213.80 | Professional | TC · Technical part | $56.23 | $102.33 | $213.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $186.21 | Professional | None | $138.04 | $154.88 | $186.21 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $37.15 | $40.74 | $50.12 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $138.04 | Professional | TC · Technical part | $102.33 | $112.20 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $263.03 | Professional | None | $107.15 | $128.82 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $100.00 | Professional | 26 · Professional part | $33.11 | $44.67 | $100.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $275.42 | Professional | TC · Technical part | $81.28 | $117.49 | $275.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $269.15 | Professional | 26 · Professional part | $208.93 | $208.93 | $269.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $870.96 | $870.96 | $870.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $102.33 | Professional | None (both parts) | $33.11 | $33.11 | $102.33 |
Providence Setting Facility Modifier None Typical Low $173.78 Median $1,122.02 Typical High $3,235.94 | Facility | None | $173.78 | $1,122.02 | $3,235.94 |
Providence Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $91.20 | $134.90 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $36.31 | $61.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $95.50 Typical High $194.98 | Professional | TC · Technical part | $56.23 | $95.50 | $194.98 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $281.84 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,584.89 | Facility | None | $1,023.29 | $1,023.29 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $245.47 | Professional | None (both parts) | $89.13 | $120.23 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $26.92 | $35.48 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $190.55 | Professional | TC · Technical part | $61.66 | $85.11 | $190.55 |
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 $87.10 Median $177.83 Typical High $426.58 | Facility | 52 · Reduced service | $87.10 | $177.83 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $72.44 Typical High $190.55 | Facility | 53 · Discontinued | $34.67 | $72.44 | $190.55 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $138.04 Median $288.40 Typical High $691.83 | Facility | FX · Film X-ray | $138.04 | $288.40 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $87.10 Typical High $97.72 | Professional | 52 · Reduced service | $52.48 | $87.10 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $34.67 Typical High $39.81 | Professional | 53 · Discontinued | $20.89 | $34.67 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $138.04 Typical High $158.49 | Professional | FX · Film X-ray | $83.18 | $138.04 | $158.49 |
Where California sits
The same service costs 4.6 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· 27th of 51
$135
AK $324TX $70.79
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.