How much rates vary
Facilitymedian $240 · 10th to 90th $72 to $562Professionalmedian $102 · 10th to 90th $63 to $724
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 $97.72 Median $109.65 Typical High $2,238.72 | Facility | None | $97.72 | $109.65 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $128.82 Typical High $309.03 | Facility | TC · Technical part | $50.12 | $128.82 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $69.18 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $41.69 | $47.86 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $50.12 Typical High $57.54 | Professional | TC · Technical part | $28.18 | $50.12 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $295.12 Typical High $302.00 | Facility | None | $51.29 | $295.12 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $102.33 Typical High $208.93 | Professional | None (both parts) | $58.88 | $102.33 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $102.33 | Professional | 26 · Professional part | $45.71 | $53.70 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $120.23 | Professional | TC · Technical part | $45.71 | $50.12 | $120.23 |
Blue Shield Setting Facility Modifier None Typical Low $77.62 Median $229.09 Typical High $371.54 | Facility | None | $77.62 | $229.09 | $371.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $69.18 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $69.18 | $97.72 | $141.25 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $47.86 | $70.79 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $50.12 Typical High $70.79 | Professional | TC · Technical part | $33.88 | $50.12 | $70.79 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $117.49 | Professional | None (both parts) | $67.61 | $83.18 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $275.42 Typical High $676.08 | Facility | None | $72.44 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $112.20 Typical High $177.83 | Professional | None (both parts) | $72.44 | $112.20 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $41.69 | $51.29 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $57.54 Typical High $102.33 | Professional | TC · Technical part | $30.20 | $57.54 | $102.33 |
Contra Costa Health Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $89.13 | Professional | None | $51.29 | $81.28 | $89.13 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $46.77 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $46.77 | $51.29 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $34.67 Typical High $38.02 | Professional | TC · Technical part | $25.12 | $34.67 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $151.36 | Professional | None | $57.54 | $70.79 | $151.36 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $114.82 | Professional | 26 · Professional part | $36.31 | $51.29 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $83.18 | Professional | TC · Technical part | $25.70 | $36.31 | $83.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $724.44 | $724.44 | $724.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $316.23 | $316.23 | $316.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $457.09 | $457.09 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $47.86 Typical High $95.50 | Professional | None (both parts) | $42.66 | $47.86 | $95.50 |
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 $97.72 Median $234.42 Typical High $602.56 | Facility | None | $97.72 | $234.42 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $75.86 | $112.20 | $169.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $51.29 | $77.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $57.54 Typical High $102.33 | Professional | TC · Technical part | $33.88 | $57.54 | $102.33 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $87.10 | $87.10 | $87.10 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $263.03 | Facility | None | $169.82 | $169.82 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $72.44 Typical High $131.83 | Professional | None (both parts) | $60.26 | $72.44 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $37.15 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $63.10 | Professional | TC · Technical part | $23.99 | $30.90 | $63.10 |
7 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 $42.66 Median $64.57 Typical High $154.88 | Facility | 52 · Reduced service | $42.66 | $64.57 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $25.70 Typical High $67.61 | Facility | 53 · Discontinued | $16.98 | $25.70 | $67.61 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $58.88 Median $102.33 Typical High $245.47 | Facility | FX · Film X-ray | $58.88 | $102.33 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $38.90 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $15.49 | $19.50 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $77.62 Typical High $87.10 | Professional | FX · Film X-ray | $45.71 | $77.62 | $87.10 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $89.13 Median $104.71 Typical High $213.80 | Professional | 50 · Both sides | $89.13 | $104.71 | $213.80 |
Where California sits
The same service costs 3.8 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· 13th of 51
$102
AK $178TX $46.77
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.