How much rates vary
Facilitymedian $151 · 10th to 90th $71 to $603Professionalmedian $126 · 10th to 90th $85 to $661
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 $112.20 Median $147.91 Typical High $1,819.70 | Facility | None | $112.20 | $147.91 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $42.66 | Facility | 26 · Professional part | $29.51 | $33.88 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $190.55 Typical High $707.95 | Facility | TC · Technical part | $95.50 | $190.55 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $112.20 | $125.89 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $27.54 | $31.62 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $134.90 | Professional | TC · Technical part | $81.28 | $95.50 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $91.20 Typical High $123.03 | Professional | None (both parts) | $89.13 | $91.20 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $31.62 | $43.65 | $56.23 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $512.86 Typical High $524.81 | Facility | None | $28.18 | $512.86 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $281.84 | Professional | None (both parts) | $102.33 | $112.20 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.18 Typical High $70.79 | Professional | 26 · Professional part | $27.54 | $28.18 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $74.13 | $83.18 | $144.54 |
Blue Shield Setting Facility Modifier None Typical Low $117.49 Median $426.58 Typical High $758.58 | Facility | None | $117.49 | $426.58 | $758.58 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $81.28 | $117.49 | $173.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $20.89 | $29.51 | $44.67 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $60.26 | $87.10 | $128.82 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $109.65 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $354.81 Typical High $676.08 | Facility | None | $147.91 | $354.81 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $60.26 | $114.82 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $33.11 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $81.28 Typical High $147.91 | Professional | TC · Technical part | $33.11 | $81.28 | $147.91 |
Contra Costa Health Setting Professional Modifier None Typical Low $60.26 Median $144.54 Typical High $158.49 | Professional | None | $60.26 | $144.54 | $158.49 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $37.15 | $40.74 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $107.15 Typical High $114.82 | Professional | TC · Technical part | $33.11 | $107.15 | $114.82 |
HealthNet Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $245.47 | Professional | None | $100.00 | $123.03 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $91.20 | Professional | 26 · Professional part | $30.20 | $40.74 | $91.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $112.20 Typical High $257.04 | Professional | TC · Technical part | $77.62 | $112.20 | $257.04 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $660.69 | $851.14 | $851.14 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $229.09 | $245.47 | $245.47 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $457.09 | $602.56 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $36.31 | $77.62 | $114.82 |
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 $128.82 Median $239.88 Typical High $602.56 | Facility | None | $128.82 | $239.88 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $60.26 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $60.26 | $114.82 | $194.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $33.11 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $81.28 Typical High $131.83 | Professional | TC · Technical part | $33.11 | $81.28 | $131.83 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $245.47 |
United Setting Facility Modifier None Typical Low $70.79 Median $151.36 Typical High $151.36 | Facility | None | $70.79 | $151.36 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $85.11 | $107.15 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $22.91 | $32.36 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $74.13 | $134.90 |
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 $63.10 Median $123.03 Typical High $295.12 | Facility | 52 · Reduced service | $63.10 | $123.03 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $48.98 Typical High $128.82 | Facility | 53 · Discontinued | $25.12 | $48.98 | $128.82 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $100.00 Median $194.98 Typical High $467.74 | Facility | FX · Film X-ray | $100.00 | $194.98 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $63.10 Typical High $70.79 | Professional | 52 · Reduced service | $51.29 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.12 Typical High $28.18 | Professional | 53 · Discontinued | $20.42 | $25.12 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $100.00 Typical High $112.20 | Professional | FX · Film X-ray | $77.62 | $100.00 | $112.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 59 · Distinct service | $112.20 | $112.20 | $112.20 |
Where California sits
The same service costs 4.2 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· 20th of 51
$126
AK $302UT $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.