How much rates vary
Facilitymedian $214 · 10th to 90th $78 to $562Professionalmedian $83 · 10th to 90th $68 to $501
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 $77.62 Median $87.10 Typical High $2,238.72 | Facility | None | $77.62 | $87.10 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $125.89 Typical High $302.00 | Facility | TC · Technical part | $48.98 | $125.89 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $81.28 Typical High $128.82 | Professional | None (both parts) | $70.79 | $81.28 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $30.20 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $77.62 | Professional | TC · Technical part | $43.65 | $50.12 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $363.08 Typical High $371.54 | Facility | None | $31.62 | $363.08 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $79.43 Typical High $162.18 | Professional | None (both parts) | $74.13 | $79.43 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $31.62 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $47.86 Typical High $104.71 | Professional | TC · Technical part | $46.77 | $47.86 | $104.71 |
Blue Shield Setting Facility Modifier None Typical Low $66.07 Median $194.98 Typical High $316.23 | Facility | None | $66.07 | $194.98 | $316.23 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $52.48 Median $75.86 Typical High $112.20 | Professional | None (both parts) | $52.48 | $75.86 | $112.20 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $42.66 | Professional | 26 · Professional part | $19.95 | $28.84 | $42.66 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $33.11 | $46.77 | $67.61 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $117.49 | Professional | None (both parts) | $83.18 | $102.33 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $275.42 Typical High $676.08 | Facility | None | $104.71 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $147.91 | Professional | None (both parts) | $72.44 | $87.10 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $30.90 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $95.50 | Professional | TC · Technical part | $44.67 | $57.54 | $95.50 |
Contra Costa Health Setting Professional Modifier None Typical Low $54.95 Median $100.00 Typical High $109.65 | Professional | None | $54.95 | $100.00 | $109.65 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $39.81 Typical High $43.65 | Professional | 26 · Professional part | $19.95 | $39.81 | $43.65 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $60.26 Typical High $66.07 | Professional | TC · Technical part | $35.48 | $60.26 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $173.78 | Professional | None | $70.79 | $85.11 | $173.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $97.72 | Professional | 26 · Professional part | $31.62 | $43.65 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $147.91 | Professional | TC · Technical part | $44.67 | $64.57 | $147.91 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $501.19 | $588.84 | $588.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $331.13 | $346.74 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $34.67 | $47.86 | $75.86 |
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 $213.80 Typical High $602.56 | Facility | None | $97.72 | $213.80 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $144.54 | Professional | None (both parts) | $72.44 | $87.10 | $144.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $29.51 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $87.10 | Professional | TC · Technical part | $44.67 | $57.54 | $87.10 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $120.23 | $120.23 | $120.23 |
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 $54.95 Median $67.61 Typical High $128.82 | Professional | None (both parts) | $54.95 | $67.61 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $20.89 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $72.44 | Professional | TC · Technical part | $32.36 | $36.31 | $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 $36.31 Median $63.10 Typical High $165.96 | Facility | 52 · Reduced service | $36.31 | $63.10 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $25.12 Typical High $66.07 | Facility | 53 · Discontinued | $14.45 | $25.12 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $57.54 Median $100.00 Typical High $239.88 | Facility | FX · Film X-ray | $57.54 | $100.00 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $38.90 Typical High $43.65 | Professional | 52 · Reduced service | $33.11 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.49 Typical High $17.38 | Professional | 53 · Discontinued | $13.49 | $15.49 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $61.66 Typical High $69.18 | Professional | FX · Film X-ray | $52.48 | $61.66 | $69.18 |
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· 29th of 51
$83.18
AK $204TX $53.70
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.