How much rates vary
Facilitymedian $347 · 10th to 90th $85 to $759Professionalmedian $78 · 10th to 90th $60 to $562
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 $66.07 Median $72.44 Typical High $2,238.72 | Facility | None | $66.07 | $72.44 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $100.00 Typical High $239.88 | Facility | TC · Technical part | $39.81 | $100.00 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $72.44 Typical High $125.89 | Professional | None (both parts) | $60.26 | $72.44 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $28.18 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $77.62 | Professional | TC · Technical part | $34.67 | $43.65 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $70.79 Typical High $79.43 | Professional | None (both parts) | $67.61 | $70.79 | $79.43 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $28.18 | $53.70 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $37.15 | $43.65 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $363.08 Typical High $371.54 | Facility | None | $30.90 | $363.08 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $72.44 Typical High $169.82 | Professional | None (both parts) | $41.69 | $72.44 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $77.62 | Professional | 26 · Professional part | $25.70 | $30.90 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $42.66 Typical High $123.03 | Professional | TC · Technical part | $39.81 | $42.66 | $123.03 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $478.63 Typical High $851.14 | Facility | None | $100.00 | $478.63 | $851.14 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $61.66 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $61.66 | $87.10 | $128.82 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $24.55 | $35.48 | $51.29 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $52.48 Typical High $77.62 | Professional | TC · Technical part | $36.31 | $52.48 | $77.62 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $83.18 | $102.33 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $275.42 Typical High $676.08 | Facility | None | $112.20 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $91.20 Typical High $154.88 | Professional | None (both parts) | $66.07 | $91.20 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $30.20 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $58.88 Typical High $100.00 | Professional | TC · Technical part | $40.74 | $58.88 | $100.00 |
Contra Costa Health Setting Professional Modifier None Typical Low $57.54 Median $100.00 Typical High $109.65 | Professional | None | $57.54 | $100.00 | $109.65 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $35.48 Typical High $38.02 | Professional | 26 · Professional part | $20.89 | $35.48 | $38.02 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $66.07 Typical High $70.79 | Professional | TC · Technical part | $37.15 | $66.07 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $173.78 | Professional | None | $70.79 | $87.10 | $173.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $85.11 | Professional | 26 · Professional part | $28.18 | $38.02 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $158.49 | Professional | TC · Technical part | $47.86 | $69.18 | $158.49 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $562.34 | $602.56 | $602.56 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | 26 · Professional part | $229.09 | $229.09 | $239.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $398.11 | $398.11 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $75.86 Typical High $117.49 | Professional | None (both parts) | $38.02 | $75.86 | $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 $87.10 Median $204.17 Typical High $602.56 | Facility | None | $87.10 | $204.17 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $66.07 Median $91.20 Typical High $151.36 | Professional | None (both parts) | $66.07 | $91.20 | $151.36 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $24.55 | $30.20 | $45.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $57.54 Typical High $93.33 | Professional | TC · Technical part | $40.74 | $57.54 | $93.33 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
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 $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
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 $57.54 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $57.54 | $74.13 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $20.42 | $29.51 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $85.11 | Professional | TC · Technical part | $33.88 | $45.71 | $85.11 |
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 $28.84 Median $50.12 Typical High $131.83 | Facility | 52 · Reduced service | $28.84 | $50.12 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $20.42 Typical High $53.70 | Facility | 53 · Discontinued | $11.48 | $20.42 | $53.70 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $46.77 Median $100.00 Typical High $213.80 | Facility | FX · Film X-ray | $46.77 | $100.00 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $33.11 Typical High $36.31 | Professional | 52 · Reduced service | $29.51 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.18 Typical High $14.45 | Professional | 53 · Discontinued | $11.75 | $13.18 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $52.48 Typical High $58.88 | Professional | FX · Film X-ray | $46.77 | $52.48 | $58.88 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 59 · Distinct service | $83.18 | $83.18 | $83.18 |
HealthNet Setting Professional Modifier 59 · Distinct service Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 59 · Distinct service | $831.76 | $831.76 | $831.76 |
Where California sits
The same service costs 4.4 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· 33rd of 51
$77.62
AK $214UT $48.98
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.