How much rates vary
Facilitymedian $4,365 · 10th to 90th $195 to $12,023Professionalmedian $234 · 10th to 90th $145 to $2,399
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 $223.87 Median $251.19 Typical High $2,238.72 | Facility | None | $223.87 | $251.19 | $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 $128.82 Median $223.87 Typical High $251.19 | Professional | None (both parts) | $128.82 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $69.18 | Professional | 26 · Professional part | $58.88 | $66.07 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $158.49 Typical High $181.97 | Professional | TC · Technical part | $69.18 | $158.49 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $144.54 | $144.54 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $691.83 Typical High $707.95 | Facility | None | $70.79 | $691.83 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $724.44 | Professional | None (both parts) | $177.83 | $234.42 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $302.00 | Professional | 26 · Professional part | $64.57 | $72.44 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $446.68 | Professional | TC · Technical part | $117.49 | $162.18 | $446.68 |
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 $186.21 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $186.21 | $269.15 | $426.58 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $75.86 | $128.82 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $302.00 | Professional | TC · Technical part | $131.83 | $190.55 | $302.00 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $1,047.13 | Professional | None (both parts) | $147.91 | $190.55 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $7,079.46 Typical High $16,218.10 | Facility | None | $245.47 | $7,079.46 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $645.65 | Professional | None (both parts) | $134.90 | $234.42 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $74.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $147.91 Typical High $537.03 | Professional | TC · Technical part | $75.86 | $147.91 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $234.42 | Professional | None | $123.03 | $169.82 | $234.42 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $70.79 | $95.50 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $134.90 | Professional | TC · Technical part | $70.79 | $100.00 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $331.13 | Professional | None | $134.90 | $165.96 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $190.55 | Professional | 26 · Professional part | $63.10 | $85.11 | $190.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $269.15 | Professional | TC · Technical part | $81.28 | $114.82 | $269.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None (both parts) | $4,168.69 | $4,168.69 | $4,168.69 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $724.44 | $724.44 | $724.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | TC · Technical part | $3,467.37 | $3,467.37 | $3,467.37 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $77.62 Typical High $141.25 | Professional | None (both parts) | $33.11 | $77.62 | $141.25 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $5,370.32 Typical High $15,848.93 | Facility | None | $223.87 | $5,370.32 | $15,848.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $630.96 | Professional | None (both parts) | $134.90 | $234.42 | $630.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $74.13 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $147.91 Typical High $537.03 | Professional | TC · Technical part | $75.86 | $147.91 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $489.78 | $489.78 | $489.78 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $275.42 | $275.42 | $275.42 |
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 $138.04 Median $177.83 Typical High $457.09 | Professional | None (both parts) | $138.04 | $177.83 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $69.18 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $371.54 | Professional | TC · Technical part | $75.86 | $97.72 | $371.54 |
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 $112.20 Median $204.17 Typical High $489.78 | Facility | 52 · Reduced service | $112.20 | $204.17 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $81.28 Typical High $213.80 | Facility | 53 · Discontinued | $44.67 | $81.28 | $213.80 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $181.97 Median $323.59 Typical High $776.25 | Facility | FX · Film X-ray | $181.97 | $323.59 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $112.20 Typical High $125.89 | Professional | 52 · Reduced service | $64.57 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $44.67 Typical High $50.12 | Professional | 53 · Discontinued | $25.70 | $44.67 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $181.97 Typical High $204.17 | Professional | FX · Film X-ray | $102.33 | $181.97 | $204.17 |
Where California sits
The same service costs 4.7 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· 16th of 51
$234
AK $427TX $91.20
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.