How much rates vary
Facilitymedian $398 · 10th to 90th $107 to $955Professionalmedian $120 · 10th to 90th $89 to $759
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 $114.82 Median $128.82 Typical High $2,238.72 | Facility | None | $114.82 | $128.82 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $208.93 Typical High $501.19 | Facility | TC · Technical part | $83.18 | $208.93 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $104.71 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $33.11 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $109.65 | Professional | TC · Technical part | $67.61 | $83.18 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $85.11 | Professional | 26 · Professional part | $30.20 | $30.20 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $478.63 Typical High $501.19 | Facility | None | $39.81 | $478.63 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $104.71 | $120.23 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $38.90 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $81.28 Typical High $128.82 | Professional | TC · Technical part | $74.13 | $81.28 | $128.82 |
Blue Shield Setting Facility Modifier None Typical Low $138.04 Median $630.96 Typical High $977.24 | Facility | None | $138.04 | $630.96 | $977.24 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $83.18 | $120.23 | $151.36 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $45.71 | Professional | 26 · Professional part | $26.92 | $38.90 | $45.71 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $104.71 | Professional | TC · Technical part | $56.23 | $81.28 | $104.71 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $104.71 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $316.23 Typical High $6,165.95 | Facility | None | $112.20 | $316.23 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $123.03 Typical High $165.96 | Professional | None (both parts) | $91.20 | $123.03 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $51.29 | Professional | 26 · Professional part | $29.51 | $37.15 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $61.66 | $83.18 | $117.49 |
Contra Costa Health Setting Professional Modifier None Typical Low $67.61 Median $120.23 Typical High $134.90 | Professional | None | $67.61 | $120.23 | $134.90 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $41.69 Typical High $45.71 | Professional | 26 · Professional part | $20.89 | $41.69 | $45.71 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $79.43 Typical High $87.10 | Professional | TC · Technical part | $46.77 | $79.43 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $234.42 | Professional | None | $95.50 | $109.65 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $47.86 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $181.97 | Professional | TC · Technical part | $61.66 | $87.10 | $181.97 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $758.58 | $812.83 | $812.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $269.15 | $309.03 | $309.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $501.19 | $512.86 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $61.66 Typical High $109.65 | Professional | None (both parts) | $44.67 | $61.66 | $109.65 |
Optum Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $309.03 | Facility | None | $114.82 | $144.54 | $309.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $162.18 | Professional | None (both parts) | $91.20 | $117.49 | $162.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $48.98 | Professional | 26 · Professional part | $29.51 | $37.15 | $48.98 |
Providence Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $61.66 | $81.28 | $112.20 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $83.18 | $100.00 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $35.48 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $104.71 | Professional | TC · Technical part | $56.23 | $64.57 | $104.71 |
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 $57.54 Median $104.71 Typical High $251.19 | Facility | 52 · Reduced service | $57.54 | $104.71 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $41.69 Typical High $109.65 | Facility | 53 · Discontinued | $22.91 | $41.69 | $109.65 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $91.20 Median $165.96 Typical High $398.11 | Facility | FX · Film X-ray | $91.20 | $165.96 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $64.57 | Professional | 52 · Reduced service | $48.98 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $19.95 | $22.91 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $91.20 Typical High $102.33 | Professional | FX · Film X-ray | $70.79 | $91.20 | $102.33 |
Where California sits
The same service costs 4.5 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· 23rd of 51
$120
AK $295TX $66.07
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.