How much rates vary
Facilitymedian $28 · 10th to 90th $9 to $117Professionalmedian $14 · 10th to 90th $11 to $41
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 $8.13 Median $14.45 Typical High $1,819.70 | Facility | None | $8.13 | $14.45 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $4.47 Median $10.72 Typical High $26.92 | Facility | TC · Technical part | $4.47 | $10.72 | $26.92 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $13.80 Typical High $19.95 | Professional | None (both parts) | $12.02 | $13.80 | $19.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $12.59 | Professional | 26 · Professional part | $8.32 | $9.33 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $4.57 Typical High $7.41 | Professional | TC · Technical part | $3.89 | $4.57 | $7.41 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $9.55 Median $10.23 Typical High $10.96 | Professional | None (both parts) | $9.55 | $10.23 | $10.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $8.32 | $8.32 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.27 Median $58.88 Typical High $61.66 | Facility | None | $4.27 | $58.88 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $11.48 Median $14.13 Typical High $28.18 | Professional | None (both parts) | $11.48 | $14.13 | $28.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $19.95 | Professional | 26 · Professional part | $8.32 | $10.00 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $4.27 Typical High $7.59 | Professional | TC · Technical part | $4.17 | $4.27 | $7.59 |
Blue Shield Setting Facility Modifier None Typical Low $9.77 Median $24.55 Typical High $43.65 | Facility | None | $9.77 | $24.55 | $43.65 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $8.51 Median $12.59 Typical High $19.05 | Professional | None (both parts) | $8.51 | $12.59 | $19.05 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.00 Typical High $15.14 | Professional | 26 · Professional part | $6.92 | $10.00 | $15.14 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $1.58 Median $2.34 Typical High $3.72 | Professional | TC · Technical part | $1.58 | $2.34 | $3.72 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $13.18 Median $16.22 Typical High $16.22 | Professional | None (both parts) | $13.18 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $63.10 Typical High $154.88 | Facility | None | $12.59 | $63.10 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $13.49 Typical High $25.70 | Professional | None (both parts) | $12.02 | $13.49 | $25.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $16.98 | Professional | 26 · Professional part | $8.32 | $9.77 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.09 Median $4.79 Typical High $9.12 | Professional | TC · Technical part | $3.09 | $4.79 | $9.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $10.00 Median $15.85 Typical High $17.38 | Professional | None | $10.00 | $15.85 | $17.38 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.00 Typical High $10.96 | Professional | 26 · Professional part | $6.46 | $10.00 | $10.96 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $5.89 Typical High $6.31 | Professional | TC · Technical part | $3.63 | $5.89 | $6.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $28.18 | Professional | None | $11.48 | $14.13 | $28.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.96 Typical High $23.99 | Professional | 26 · Professional part | $7.94 | $10.96 | $23.99 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $6.31 Typical High $14.13 | Professional | TC · Technical part | $4.37 | $6.31 | $14.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,412.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 26 · Professional part | $1,288.25 | $1,288.25 | $1,288.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $977.24 | $977.24 | $977.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $3.47 Median $9.12 Typical High $13.18 | Professional | None (both parts) | $3.47 | $9.12 | $13.18 |
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 $13.18 Median $44.67 Typical High $141.25 | Facility | None | $13.18 | $44.67 | $141.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $12.02 Median $13.49 Typical High $25.12 | Professional | None (both parts) | $12.02 | $13.49 | $25.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $14.79 | Professional | 26 · Professional part | $8.32 | $9.77 | $14.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $3.09 Median $4.57 Typical High $7.76 | Professional | TC · Technical part | $3.09 | $4.57 | $7.76 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $26.30 | $26.30 | $26.30 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | TC · Technical part | $12.59 | $12.59 | $12.59 |
United Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $72.44 | Facility | None | $47.86 | $47.86 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $9.12 Median $12.30 Typical High $22.39 | Professional | None (both parts) | $9.12 | $12.30 | $22.39 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.32 Typical High $15.14 | Professional | 26 · Professional part | $6.61 | $8.32 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $3.98 Typical High $7.24 | Professional | TC · Technical part | $2.57 | $3.98 | $7.24 |
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 $3.98 Median $7.24 Typical High $14.45 | Facility | 52 · Reduced service | $3.98 | $7.24 | $14.45 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.58 Median $2.88 Typical High $5.89 | Facility | 53 · Discontinued | $1.58 | $2.88 | $5.89 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $5.25 Median $11.48 Typical High $23.44 | Facility | FX · Film X-ray | $5.25 | $11.48 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $6.61 Typical High $7.24 | Professional | 52 · Reduced service | $5.75 | $6.61 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.63 Typical High $2.88 | Professional | 53 · Discontinued | $2.29 | $2.63 | $2.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $9.12 Median $10.72 Typical High $11.48 | Professional | FX · Film X-ray | $9.12 | $10.72 | $11.48 |
Where California sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 26th of 51
$14.13
AK $35.48FL $9.12
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.