How much rates vary
Facilitymedian $132 · 10th to 90th $79 to $457Professionalmedian $100 · 10th to 90th $78 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 $91.20 Median $109.65 Typical High $1,819.70 | Facility | None | $91.20 | $109.65 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $42.66 | Facility | 26 · Professional part | $27.54 | $30.90 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $128.82 Typical High $380.19 | Facility | TC · Technical part | $61.66 | $128.82 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $147.91 | Professional | None (both parts) | $83.18 | $95.50 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $31.62 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $100.00 | Professional | TC · Technical part | $54.95 | $63.10 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $89.13 | Professional | None (both parts) | $79.43 | $83.18 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $27.54 | $29.51 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $416.87 Typical High $436.52 | Facility | None | $34.67 | $416.87 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $97.72 Typical High $245.47 | Professional | None (both parts) | $95.50 | $97.72 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $85.11 | Professional | 26 · Professional part | $29.51 | $33.88 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $61.66 | $120.23 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $398.11 Typical High $707.95 | Facility | None | $97.72 | $398.11 | $707.95 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $63.10 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $63.10 | $91.20 | $141.25 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $22.91 | $33.11 | $51.29 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $57.54 Typical High $93.33 | Professional | TC · Technical part | $39.81 | $57.54 | $93.33 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $95.50 | $120.23 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $275.42 Typical High $676.08 | Facility | None | $128.82 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $74.13 | $100.00 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $33.88 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $66.07 Typical High $112.20 | Professional | TC · Technical part | $45.71 | $66.07 | $112.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $63.10 Median $117.49 Typical High $128.82 | Professional | None | $63.10 | $117.49 | $128.82 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.90 Typical High $42.66 | Professional | 26 · Professional part | $23.44 | $38.90 | $42.66 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $77.62 Typical High $85.11 | Professional | TC · Technical part | $39.81 | $77.62 | $85.11 |
HealthNet Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $208.93 | Professional | None | $83.18 | $100.00 | $208.93 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $95.50 | Professional | 26 · Professional part | $31.62 | $42.66 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $190.55 | Professional | TC · Technical part | $58.88 | $83.18 | $190.55 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $707.95 | Professional | None (both parts) | $524.81 | $524.81 | $707.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $199.53 | $257.04 | $257.04 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $331.13 | $446.68 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $64.57 Typical High $107.15 | Professional | None (both parts) | $42.66 | $64.57 | $107.15 |
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 $114.82 Median $239.88 Typical High $602.56 | Facility | None | $114.82 | $239.88 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $74.13 | $100.00 | $165.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $27.54 | $33.88 | $51.29 |
Providence Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $102.33 | Professional | TC · Technical part | $44.67 | $64.57 | $102.33 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $173.78 | $173.78 | $173.78 |
United Setting Facility Modifier None Typical Low $79.43 Median $104.71 Typical High $158.49 | Facility | None | $79.43 | $104.71 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $67.61 | $85.11 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $22.91 | $33.11 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $95.50 | Professional | TC · Technical part | $42.66 | $52.48 | $95.50 |
7 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 $45.71 Median $79.43 Typical High $208.93 | Facility | 52 · Reduced service | $45.71 | $79.43 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $31.62 Typical High $83.18 | Facility | 53 · Discontinued | $18.20 | $31.62 | $83.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $72.44 Median $125.89 Typical High $302.00 | Facility | FX · Film X-ray | $72.44 | $125.89 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $45.71 Typical High $51.29 | Professional | 52 · Reduced service | $38.90 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.20 Typical High $20.42 | Professional | 53 · Discontinued | $15.85 | $18.20 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $72.44 Typical High $81.28 | Professional | FX · Film X-ray | $63.10 | $72.44 | $81.28 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $79.43 Median $93.33 Typical High $93.33 | Professional | 59 · Distinct service | $79.43 | $93.33 | $93.33 |
Where California sits
The same service costs 3.6 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· 27th of 51
$100
AK $245TX $67.61
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.