How much rates vary
Facilitymedian $170 · 10th to 90th $107 to $603Professionalmedian $112 · 10th to 90th $60 to $525
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 $95.50 Median $125.89 Typical High $2,238.72 | Facility | None | $95.50 | $125.89 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $194.98 Typical High $512.86 | Facility | TC · Technical part | $81.28 | $194.98 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $69.18 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $25.12 | $28.84 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $85.11 Typical High $114.82 | Professional | TC · Technical part | $39.81 | $85.11 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $64.57 Typical High $69.18 | Professional | None (both parts) | $54.95 | $64.57 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $40.74 | $40.74 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $309.03 Typical High $323.59 | Facility | None | $31.62 | $309.03 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $102.33 | $117.49 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $64.57 | Professional | 26 · Professional part | $26.30 | $31.62 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $77.62 | $85.11 | $117.49 |
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 $70.79 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $70.79 | $102.33 | $144.54 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $39.81 | Professional | 26 · Professional part | $18.20 | $25.70 | $39.81 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $104.71 | Professional | TC · Technical part | $52.48 | $74.13 | $104.71 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $72.44 | $87.10 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $331.13 Typical High $676.08 | Facility | None | $104.71 | $331.13 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $95.50 Typical High $154.88 | Professional | None (both parts) | $51.29 | $95.50 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $23.99 | $30.20 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $63.10 Typical High $112.20 | Professional | TC · Technical part | $26.92 | $63.10 | $112.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $51.29 Median $87.10 Typical High $93.33 | Professional | None | $51.29 | $87.10 | $93.33 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $37.15 | Professional | 26 · Professional part | $23.99 | $34.67 | $37.15 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $52.48 Typical High $56.23 | Professional | TC · Technical part | $27.54 | $52.48 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $151.36 | Professional | None | $61.66 | $74.13 | $151.36 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $83.18 | Professional | 26 · Professional part | $27.54 | $37.15 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $54.95 Typical High $125.89 | Professional | TC · Technical part | $38.02 | $54.95 | $125.89 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $602.56 | Professional | None (both parts) | $524.81 | $524.81 | $602.56 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $194.98 | $223.87 | $223.87 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | TC · Technical part | $363.08 | $363.08 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $34.67 Typical High $67.61 | Professional | None (both parts) | $33.11 | $34.67 | $67.61 |
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 $107.15 Median $239.88 Typical High $602.56 | Facility | None | $107.15 | $239.88 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $51.29 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $51.29 | $100.00 | $151.36 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $23.99 | $30.20 | $45.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $64.57 Typical High $102.33 | Professional | TC · Technical part | $26.92 | $64.57 | $102.33 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $100.00 | $100.00 | $100.00 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $67.61 Typical High $123.03 | Professional | None (both parts) | $57.54 | $67.61 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $29.51 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $83.18 | Professional | TC · Technical part | $30.20 | $37.15 | $83.18 |
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 $56.23 Median $109.65 Typical High $263.03 | Facility | 52 · Reduced service | $56.23 | $109.65 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $43.65 Typical High $114.82 | Facility | 53 · Discontinued | $22.39 | $43.65 | $114.82 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $89.13 Median $173.78 Typical High $416.87 | Facility | FX · Film X-ray | $89.13 | $173.78 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $31.62 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $12.88 | $22.39 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $89.13 Typical High $102.33 | Professional | FX · Film X-ray | $45.71 | $89.13 | $102.33 |
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· 9th of 51
$112
AK $182TX $47.86
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.