How much rates vary
Facilitymedian $170 · 10th to 90th $89 to $575Professionalmedian $115 · 10th to 90th $91 to $708
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 $102.33 Median $114.82 Typical High $2,238.72 | Facility | None | $102.33 | $114.82 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $147.91 Typical High $478.63 | Facility | TC · Technical part | $64.57 | $147.91 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $93.33 | $112.20 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $41.69 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $125.89 | Professional | TC · Technical part | $56.23 | $70.79 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $112.20 | $114.82 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $79.43 Typical High $204.17 | Professional | 26 · Professional part | $34.67 | $79.43 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $575.44 Typical High $588.84 | Facility | None | $45.71 | $575.44 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $95.50 | $114.82 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $37.15 | $44.67 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $69.18 | $141.25 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $331.13 Typical High $549.54 | Facility | None | $95.50 | $331.13 | $549.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $67.61 Median $97.72 Typical High $144.54 | Professional | None (both parts) | $67.61 | $97.72 | $144.54 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $23.99 | $34.67 | $56.23 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $58.88 Typical High $93.33 | Professional | TC · Technical part | $38.90 | $58.88 | $93.33 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $104.71 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $323.59 Typical High $676.08 | Facility | None | $144.54 | $323.59 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $218.78 | Professional | None (both parts) | $97.72 | $114.82 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $44.67 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $141.25 | Professional | TC · Technical part | $56.23 | $69.18 | $141.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $51.29 Median $162.18 Typical High $173.78 | Professional | None | $51.29 | $162.18 | $173.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $52.48 Typical High $57.54 | Professional | 26 · Professional part | $18.62 | $52.48 | $57.54 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $109.65 Typical High $117.49 | Professional | TC · Technical part | $33.11 | $109.65 | $117.49 |
HealthNet Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $114.82 | $177.83 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $281.84 | Professional | None | $112.20 | $138.04 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $125.89 | Professional | 26 · Professional part | $41.69 | $57.54 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $263.03 | Professional | TC · Technical part | $79.43 | $114.82 | $263.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | None (both parts) | $707.95 | $707.95 | $954.99 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $257.04 | $338.84 | $338.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $616.60 Typical High $616.60 | Professional | TC · Technical part | $446.68 | $616.60 | $616.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $77.62 Typical High $123.03 | Professional | None (both parts) | $47.86 | $77.62 | $123.03 |
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 $125.89 Median $239.88 Typical High $602.56 | Facility | None | $125.89 | $239.88 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $218.78 | Professional | None (both parts) | $97.72 | $112.20 | $218.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $36.31 | $44.67 | $67.61 |
Providence Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $66.07 | $128.82 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $239.88 | $239.88 | $239.88 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $77.62 | $114.82 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $30.20 | $43.65 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $72.44 Typical High $131.83 | Professional | TC · Technical part | $47.86 | $72.44 | $131.83 |
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 $46.77 Median $81.28 Typical High $194.98 | Facility | 52 · Reduced service | $46.77 | $81.28 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $33.11 Typical High $79.43 | Facility | 53 · Discontinued | $18.62 | $33.11 | $79.43 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $75.86 Median $131.83 Typical High $316.23 | Facility | FX · Film X-ray | $75.86 | $131.83 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.42 Typical High $22.91 | Professional | 53 · Discontinued | $18.20 | $20.42 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $83.18 Typical High $91.20 | Professional | FX · Film X-ray | $72.44 | $83.18 | $91.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $95.50 Median $125.89 Typical High $125.89 | Professional | 59 · Distinct service | $95.50 | $125.89 | $125.89 |
Where California sits
The same service costs 4.6 times more in Alaska than in Utah. 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· 35th of 51
$115
AK $331UT $72.44
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.