How much rates vary
Facilitymedian $398 · 10th to 90th $132 to $813Professionalmedian $145 · 10th to 90th $107 to $891
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 $131.83 Median $147.91 Typical High $2,238.72 | Facility | None | $131.83 | $147.91 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $239.88 Typical High $602.56 | Facility | TC · Technical part | $100.00 | $239.88 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $117.49 | $141.25 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $51.29 | Professional | 26 · Professional part | $30.20 | $34.67 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $87.10 | $104.71 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $109.65 | $109.65 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $616.60 Typical High $645.65 | Facility | None | $35.48 | $616.60 | $645.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $288.40 | Professional | None (both parts) | $117.49 | $134.90 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $77.62 | Professional | 26 · Professional part | $30.20 | $34.67 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $100.00 | $218.78 |
Blue Shield Setting Facility Modifier None Typical Low $131.83 Median $512.86 Typical High $912.01 | Facility | None | $131.83 | $512.86 | $912.01 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $95.50 | $138.04 | $204.17 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $22.91 | $33.11 | $50.12 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $104.71 | $154.88 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $131.83 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $389.05 Typical High $707.95 | Facility | None | $190.55 | $389.05 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $141.25 Typical High $323.59 | Professional | None (both parts) | $85.11 | $141.25 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $28.18 | $36.31 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $104.71 Typical High $263.03 | Professional | TC · Technical part | $56.23 | $104.71 | $263.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $67.61 Median $177.83 Typical High $194.98 | Professional | None | $67.61 | $177.83 | $194.98 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $40.74 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $40.74 | $44.67 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $138.04 Typical High $147.91 | Professional | TC · Technical part | $45.71 | $138.04 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $302.00 | Professional | None | $123.03 | $147.91 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $100.00 | Professional | 26 · Professional part | $32.36 | $44.67 | $100.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $331.13 | Professional | TC · Technical part | $100.00 | $144.54 | $331.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $891.25 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $389.05 | $389.05 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $691.83 | $776.25 | $776.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $186.21 Typical High $223.87 | Professional | None (both parts) | $38.02 | $186.21 | $223.87 |
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 $151.36 Median $302.00 Typical High $616.60 | Facility | None | $151.36 | $302.00 | $616.60 |
Providence Setting Professional Modifier None (both parts) Typical Low $85.11 Median $141.25 Typical High $338.84 | Professional | None (both parts) | $85.11 | $141.25 | $338.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $28.18 | $36.31 | $56.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $104.71 Typical High $208.93 | Professional | TC · Technical part | $56.23 | $104.71 | $208.93 |
Sutter Health Plus 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 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $416.87 | $416.87 | $416.87 |
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 $102.33 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $102.33 | $158.49 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $34.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $125.89 Typical High $218.78 | Professional | TC · Technical part | $75.86 | $125.89 | $218.78 |
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 $66.07 Median $125.89 Typical High $302.00 | Facility | 52 · Reduced service | $66.07 | $125.89 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $50.12 Typical High $120.23 | Facility | 53 · Discontinued | $26.30 | $50.12 | $120.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $104.71 Median $204.17 Typical High $489.78 | Facility | FX · Film X-ray | $104.71 | $204.17 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $56.23 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $22.39 | $26.30 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $104.71 Typical High $120.23 | Professional | FX · Film X-ray | $91.20 | $104.71 | $120.23 |
Where California sits
The same service costs 4.9 times more in Wyoming 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· 39th of 51
$145
WY $501UT $102
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.