How much rates vary
Facilitymedian $191 · 10th to 90th $120 to $603Professionalmedian $117 · 10th to 90th $85 to $741
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 $93.33 Median $104.71 Typical High $2,238.72 | Facility | None | $93.33 | $104.71 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $154.88 Typical High $398.11 | Facility | TC · Technical part | $64.57 | $154.88 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $85.11 | $102.33 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $30.90 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $70.79 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $56.23 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $562.34 Typical High $575.44 | Facility | None | $32.36 | $562.34 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $281.84 | Professional | None (both parts) | $85.11 | $102.33 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $32.36 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $32.36 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $154.88 | Professional | TC · Technical part | $64.57 | $69.18 | $154.88 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $398.11 Typical High $707.95 | Facility | None | $97.72 | $398.11 | $707.95 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $79.43 | $114.82 | $169.82 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $20.42 | $29.51 | $44.67 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $60.26 | $85.11 | $125.89 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $117.49 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $354.81 Typical High $676.08 | Facility | None | $165.96 | $354.81 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $102.33 | $117.49 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $34.67 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $165.96 | Professional | TC · Technical part | $69.18 | $85.11 | $165.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $61.66 Median $158.49 Typical High $173.78 | Professional | None | $61.66 | $158.49 | $173.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $16.22 | $37.15 | $40.74 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $123.03 Typical High $134.90 | Professional | TC · Technical part | $45.71 | $123.03 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $309.03 | Professional | None | $112.20 | $138.04 | $309.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $89.13 | Professional | 26 · Professional part | $30.20 | $40.74 | $89.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $131.83 Typical High $295.12 | Professional | TC · Technical part | $89.13 | $131.83 | $295.12 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $741.31 | $933.25 | $933.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 26 · Professional part | $1,548.82 | $1,548.82 | $1,548.82 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $549.54 | $691.83 | $691.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $77.62 Typical High $128.82 | Professional | None (both parts) | $36.31 | $77.62 | $128.82 |
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 $120.23 Median $251.19 Typical High $602.56 | Facility | None | $120.23 | $251.19 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $102.33 | $117.49 | $229.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $33.88 | $51.29 |
Providence Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $81.28 | $151.36 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $83.18 | $117.49 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $33.11 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $58.88 | $85.11 | $154.88 |
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 $46.77 Median $83.18 Typical High $218.78 | Facility | 52 · Reduced service | $46.77 | $83.18 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $33.11 Typical High $87.10 | Facility | 53 · Discontinued | $18.62 | $33.11 | $87.10 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $74.13 Median $131.83 Typical High $316.23 | Facility | FX · Film X-ray | $74.13 | $131.83 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $46.77 Typical High $52.48 | Professional | 52 · Reduced service | $42.66 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.62 Typical High $20.89 | Professional | 53 · Discontinued | $16.98 | $18.62 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $74.13 Typical High $83.18 | Professional | FX · Film X-ray | $67.61 | $74.13 | $83.18 |
Where California sits
The same service costs 3.9 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· 36th of 51
$117
AK $339TX $87.10
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.