How much rates vary
Facilitymedian $331 · 10th to 90th $120 to $676Professionalmedian $120 · 10th to 90th $98 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 $120.23 Median $144.54 Typical High $1,819.70 | Facility | None | $120.23 | $144.54 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $42.66 | Facility | 26 · Professional part | $25.70 | $29.51 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $169.82 Typical High $549.54 | Facility | TC · Technical part | $93.33 | $169.82 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $204.17 | Professional | None (both parts) | $107.15 | $125.89 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $27.54 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $100.00 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $120.23 | Professional | None (both parts) | $100.00 | $107.15 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $38.90 | Professional | 26 · Professional part | $23.99 | $33.88 | $38.90 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $83.18 | $97.72 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $562.34 Typical High $575.44 | Facility | None | $26.30 | $562.34 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $239.88 | Professional | None (both parts) | $104.71 | $112.20 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $64.57 | Professional | 26 · Professional part | $25.70 | $26.30 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $169.82 | Professional | TC · Technical part | $79.43 | $83.18 | $169.82 |
Blue Shield Setting Facility Modifier None Typical Low $114.82 Median $398.11 Typical High $707.95 | Facility | None | $114.82 | $398.11 | $707.95 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $77.62 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $77.62 | $109.65 | $162.18 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.70 Typical High $38.02 | Professional | 26 · Professional part | $17.78 | $25.70 | $38.02 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $85.11 | $125.89 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $120.23 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $354.81 Typical High $676.08 | Facility | None | $169.82 | $354.81 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $95.50 | $112.20 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $28.84 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $69.18 | $85.11 | $177.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $60.26 Median $162.18 Typical High $173.78 | Professional | None | $60.26 | $162.18 | $173.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $33.11 Typical High $36.31 | Professional | 26 · Professional part | $13.80 | $33.11 | $36.31 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $125.89 Typical High $138.04 | Professional | TC · Technical part | $45.71 | $125.89 | $138.04 |
HealthNet Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $676.08 | Professional | None (both parts) | $147.91 | $223.87 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $275.42 | Professional | None | $112.20 | $134.90 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $81.28 | Professional | 26 · Professional part | $26.92 | $36.31 | $81.28 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $309.03 | Professional | TC · Technical part | $93.33 | $134.90 | $309.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $933.25 | Professional | None (both parts) | $724.44 | $724.44 | $933.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $269.15 | $269.15 | $269.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $549.54 | $724.44 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $93.33 Typical High $125.89 | Professional | None (both parts) | $32.36 | $93.33 | $125.89 |
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 $128.82 Median $245.47 Typical High $602.56 | Facility | None | $128.82 | $245.47 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $95.50 | $109.65 | $229.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $44.67 | Professional | 26 · Professional part | $23.44 | $28.18 | $44.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $158.49 | Professional | TC · Technical part | $69.18 | $83.18 | $158.49 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $295.12 | $295.12 | $295.12 |
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 $77.62 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $77.62 | $117.49 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $19.50 | $28.84 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $89.13 Typical High $162.18 | Professional | TC · Technical part | $57.54 | $89.13 | $162.18 |
8 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 $60.26 Median $120.23 Typical High $288.40 | Facility | 52 · Reduced service | $60.26 | $120.23 | $288.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $47.86 Typical High $125.89 | Facility | 53 · Discontinued | $23.99 | $47.86 | $125.89 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $95.50 Median $190.55 Typical High $457.09 | Facility | FX · Film X-ray | $95.50 | $190.55 | $457.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $60.26 Typical High $67.61 | Professional | 52 · Reduced service | $51.29 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $20.42 | $23.99 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $95.50 Typical High $107.15 | Professional | FX · Film X-ray | $81.28 | $95.50 | $107.15 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $107.15 Median $107.15 Typical High $125.89 | Professional | 59 · Distinct service | $107.15 | $107.15 | $125.89 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | XS · Separate structure | $112.20 | $112.20 | $112.20 |
Where California sits
The same service costs 4.1 times more in Minnesota 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· 32nd of 51
$123
MN $363FL $89.13
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.