How much rates vary
Facilitymedian $437 · 10th to 90th $105 to $12,023Professionalmedian $162 · 10th to 90th $105 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 $107.15 Median $123.03 Typical High $2,238.72 | Facility | None | $107.15 | $123.03 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $199.53 Typical High $478.63 | Facility | TC · Technical part | $77.62 | $199.53 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $489.78 | Professional | None (both parts) | $95.50 | $117.49 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $165.96 | Professional | 26 · Professional part | $74.13 | $87.10 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $323.59 | Professional | TC · Technical part | $69.18 | $87.10 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $1,380.38 Typical High $1,445.44 | Facility | None | $72.44 | $1,380.38 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $131.83 | $154.88 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $199.53 | Professional | 26 · Professional part | $81.28 | $87.10 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $72.44 Typical High $173.78 | Professional | TC · Technical part | $44.67 | $72.44 | $173.78 |
Blue Shield Setting Facility Modifier None Typical Low $102.33 Median $338.84 Typical High $660.69 | Facility | None | $102.33 | $338.84 | $660.69 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $97.72 | $138.04 | $229.09 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $89.13 | $151.36 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $48.98 Typical High $83.18 | Professional | TC · Technical part | $34.67 | $48.98 | $83.18 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $194.98 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $7,079.46 Typical High $16,595.87 | Facility | None | $151.36 | $7,079.46 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $295.12 | Professional | None (both parts) | $107.15 | $134.90 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $186.21 | Professional | 26 · Professional part | $70.79 | $87.10 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $95.50 | Professional | TC · Technical part | $36.31 | $47.86 | $95.50 |
Contra Costa Health Setting Professional Modifier None Typical Low $104.71 Median $354.81 Typical High $478.63 | Professional | None | $104.71 | $354.81 | $478.63 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $34.67 | $117.49 | $158.49 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $234.42 Typical High $316.23 | Professional | TC · Technical part | $69.18 | $234.42 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $676.08 | Professional | None | $269.15 | $331.13 | $676.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $316.23 | Professional | 26 · Professional part | $104.71 | $141.25 | $316.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $269.15 Typical High $630.96 | Professional | TC · Technical part | $186.21 | $269.15 | $630.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,187.76 | $2,398.83 | $2,398.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | 26 · Professional part | $1,659.59 | $1,659.59 | $1,659.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | TC · Technical part | $1,513.56 | $1,513.56 | $1,513.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $107.15 | Professional | None (both parts) | $33.11 | $33.11 | $107.15 |
Providence Setting Facility Modifier None Typical Low $134.90 Median $4,897.79 Typical High $15,848.93 | Facility | None | $134.90 | $4,897.79 | $15,848.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $380.19 | Professional | None (both parts) | $107.15 | $134.90 | $380.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $70.79 | $87.10 | $151.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $85.11 | Professional | TC · Technical part | $36.31 | $46.77 | $85.11 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
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 $100.00 Median $1,737.80 Typical High $3,801.89 | Professional | None (both parts) | $100.00 | $1,737.80 | $3,801.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $67.61 | $93.33 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $1,621.81 Typical High $3,630.78 | Professional | TC · Technical part | $33.88 | $1,621.81 | $3,630.78 |
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 $53.70 Median $100.00 Typical High $239.88 | Facility | 52 · Reduced service | $53.70 | $100.00 | $239.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $39.81 Typical High $104.71 | Facility | 53 · Discontinued | $21.38 | $39.81 | $104.71 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $85.11 Median $158.49 Typical High $380.19 | Facility | FX · Film X-ray | $85.11 | $158.49 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $53.70 Typical High $1,230.27 | Professional | 52 · Reduced service | $46.77 | $53.70 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.38 Typical High $489.78 | Professional | 53 · Discontinued | $19.05 | $21.38 | $489.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $85.11 Typical High $1,995.26 | Professional | FX · Film X-ray | $75.86 | $85.11 | $1,995.26 |
Where California sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 45th of 51
$166
CO $3,467NM $132
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.