How much rates vary
Facilitymedian $224 · 10th to 90th $63 to $468Professionalmedian $107 · 10th to 90th $32 to $1,778
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 $32.36 Median $35.48 Typical High $2,238.72 | Facility | None | $32.36 | $35.48 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $218.78 Typical High $524.81 | Facility | TC · Technical part | $87.10 | $218.78 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $32.36 Typical High $54.95 | Professional | None (both parts) | $30.20 | $32.36 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.60 Typical High $19.50 | Professional | 26 · Professional part | $15.14 | $16.60 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $100.00 | Professional | TC · Technical part | $70.79 | $83.18 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $58.88 | Facility | None | $50.12 | $52.48 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $69.18 | $245.47 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.90 Typical High $91.20 | Professional | 26 · Professional part | $19.95 | $30.90 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $102.33 Typical High $141.25 | Professional | TC · Technical part | $44.67 | $102.33 | $141.25 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $190.55 Typical High $338.84 | Facility | None | $97.72 | $190.55 | $338.84 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $165.96 | Professional | None (both parts) | $72.44 | $102.33 | $165.96 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.00 Typical High $16.60 | Professional | 26 · Professional part | $7.08 | $10.00 | $16.60 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $147.91 | Professional | TC · Technical part | $64.57 | $93.33 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $295.12 Typical High $489.78 | Facility | None | $100.00 | $295.12 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $100.00 Typical High $331.13 | Professional | None (both parts) | $53.70 | $100.00 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $33.11 Typical High $114.82 | Professional | 26 · Professional part | $19.05 | $33.11 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $67.61 Typical High $213.80 | Professional | TC · Technical part | $35.48 | $67.61 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $1,737.80 | Professional | None | $407.38 | $630.96 | $1,737.80 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,778.28 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $602.56 | Professional | 26 · Professional part | $371.54 | $371.54 | $602.56 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $776.25 | Professional | TC · Technical part | $602.56 | $602.56 | $776.25 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $251.19 Typical High $457.09 | Facility | None | $95.50 | $251.19 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $54.95 Median $87.10 Typical High $478.63 | Professional | None (both parts) | $54.95 | $87.10 | $478.63 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.20 Typical High $158.49 | Professional | 26 · Professional part | $19.05 | $30.20 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $54.95 Typical High $316.23 | Professional | TC · Technical part | $36.31 | $54.95 | $316.23 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $218.78 | Facility | None | $144.54 | $144.54 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
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 $16.22 Median $109.65 Typical High $263.03 | Facility | 52 · Reduced service | $16.22 | $109.65 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $43.65 Typical High $104.71 | Facility | 53 · Discontinued | $6.46 | $43.65 | $104.71 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $26.30 Median $177.83 Typical High $426.58 | Facility | FX · Film X-ray | $26.30 | $177.83 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $16.22 Typical High $30.20 | Professional | 52 · Reduced service | $14.79 | $16.22 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.46 Typical High $12.30 | Professional | 53 · Discontinued | $5.89 | $6.46 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $26.30 Typical High $51.29 | Professional | FX · Film X-ray | $23.99 | $26.30 | $51.29 |
Where California sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 21st of 51
$110
WI $269CT $37.15
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.