How much rates vary
Facilitymedian $275 · 10th to 90th $129 to $457Professionalmedian $102 · 10th to 90th $83 to $363
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 $107.15 Typical High $2,238.72 | Facility | None | $95.50 | $107.15 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $125.89 Typical High $316.23 | Facility | TC · Technical part | $51.29 | $125.89 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $87.10 | $100.00 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $47.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $81.28 | Professional | TC · Technical part | $45.71 | $52.48 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $457.09 Typical High $467.74 | Facility | None | $51.29 | $457.09 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $213.80 | Professional | None (both parts) | $89.13 | $102.33 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $109.65 | Professional | 26 · Professional part | $41.69 | $52.48 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $51.29 Typical High $128.82 | Professional | TC · Technical part | $47.86 | $51.29 | $128.82 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $575.44 | Facility | None | $100.00 | $363.08 | $575.44 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $66.07 | $97.72 | $147.91 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $50.12 | $75.86 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $47.86 Typical High $74.13 | Professional | TC · Technical part | $32.36 | $47.86 | $74.13 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $125.89 Typical High $407.38 | Professional | None (both parts) | $102.33 | $125.89 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $199.53 Typical High $6,165.95 | Facility | None | $104.71 | $199.53 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $81.28 | $107.15 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $50.12 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $56.23 Typical High $95.50 | Professional | TC · Technical part | $38.02 | $56.23 | $95.50 |
Contra Costa Health Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $134.90 | Professional | None | $81.28 | $123.03 | $134.90 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $60.26 Typical High $66.07 | Professional | 26 · Professional part | $39.81 | $60.26 | $66.07 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $64.57 Typical High $69.18 | Professional | TC · Technical part | $39.81 | $64.57 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $223.87 | Professional | None | $89.13 | $107.15 | $223.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $144.54 | Professional | 26 · Professional part | $47.86 | $66.07 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $67.61 Typical High $154.88 | Professional | TC · Technical part | $46.77 | $67.61 | $154.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $524.81 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | TC · Technical part | $831.76 | $831.76 | $831.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $56.23 Typical High $117.49 | Professional | None (both parts) | $53.70 | $56.23 | $117.49 |
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 $95.50 Median $141.25 Typical High $354.81 | Facility | None | $95.50 | $141.25 | $354.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $81.28 | $107.15 | $186.21 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $42.66 | $50.12 | $83.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $54.95 Typical High $83.18 | Professional | TC · Technical part | $38.02 | $54.95 | $83.18 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $162.18 | $162.18 | $162.18 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $309.03 | Facility | None | $154.88 | $154.88 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $74.13 | $93.33 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $93.33 | Professional | 26 · Professional part | $34.67 | $50.12 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $83.18 | Professional | TC · Technical part | $34.67 | $42.66 | $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 $41.69 Median $66.07 Typical High $158.49 | Facility | 52 · Reduced service | $41.69 | $66.07 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $26.30 Typical High $69.18 | Facility | 53 · Discontinued | $16.60 | $26.30 | $69.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $60.26 Median $104.71 Typical High $251.19 | Facility | FX · Film X-ray | $60.26 | $104.71 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $47.86 Typical High $53.70 | Professional | 52 · Reduced service | $41.69 | $47.86 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.05 Typical High $21.38 | Professional | 53 · Discontinued | $16.60 | $19.05 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $77.62 Typical High $85.11 | Professional | FX · Film X-ray | $66.07 | $77.62 | $85.11 |
Where California sits
The same service costs 4.2 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· 30th of 51
$102
AK $275TX $66.07
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.