How much rates vary
Facilitymedian $93 · 10th to 90th $35 to $214Professionalmedian $37 · 10th to 90th $27 to $288
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 $30.90 Median $38.02 Typical High $2,238.72 | Facility | None | $30.90 | $38.02 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $46.77 Typical High $123.03 | Facility | TC · Technical part | $20.42 | $46.77 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $30.90 | $37.15 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $21.38 | Professional | 26 · Professional part | $12.88 | $14.79 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $46.77 | Professional | TC · Technical part | $17.78 | $22.39 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $36.31 | $43.65 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $20.89 | Professional | 26 · Professional part | $12.02 | $14.13 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $208.93 Typical High $213.80 | Facility | None | $13.49 | $208.93 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $16.22 Median $31.62 Typical High $75.86 | Professional | None (both parts) | $16.22 | $31.62 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $29.51 | Professional | 26 · Professional part | $13.18 | $14.45 | $29.51 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $18.62 Typical High $52.48 | Professional | TC · Technical part | $15.85 | $18.62 | $52.48 |
Blue Shield Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $218.78 | Facility | None | $50.12 | $138.04 | $218.78 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $23.99 Median $35.48 Typical High $52.48 | Professional | None (both parts) | $23.99 | $35.48 | $52.48 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.60 Typical High $24.55 | Professional | 26 · Professional part | $11.22 | $16.60 | $24.55 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $18.62 Typical High $28.18 | Professional | TC · Technical part | $12.59 | $18.62 | $28.18 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $39.81 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $79.43 Typical High $6,165.95 | Facility | None | $34.67 | $79.43 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $28.84 | $38.02 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.85 Typical High $27.54 | Professional | 26 · Professional part | $12.30 | $15.85 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.38 Typical High $44.67 | Professional | TC · Technical part | $16.22 | $21.38 | $44.67 |
Contra Costa Health Setting Professional Modifier None Typical Low $28.18 Median $57.54 Typical High $63.10 | Professional | None | $28.18 | $57.54 | $63.10 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.98 Typical High $18.62 | Professional | 26 · Professional part | $12.30 | $16.98 | $18.62 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $40.74 Typical High $44.67 | Professional | TC · Technical part | $15.85 | $40.74 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $100.00 | Professional | None | $40.74 | $50.12 | $100.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.62 Typical High $40.74 | Professional | 26 · Professional part | $13.80 | $18.62 | $40.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $43.65 Typical High $100.00 | Professional | TC · Technical part | $30.20 | $43.65 | $100.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $288.40 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $204.17 | Professional | 26 · Professional part | $114.82 | $114.82 | $204.17 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $229.09 | $234.42 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.98 Median $23.44 Typical High $44.67 | Professional | None (both parts) | $16.98 | $23.44 | $44.67 |
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 $34.67 Median $48.98 Typical High $81.28 | Facility | None | $34.67 | $48.98 | $81.28 |
Providence Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $28.84 | $38.02 | $70.79 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.49 Typical High $23.44 | Professional | 26 · Professional part | $12.30 | $15.49 | $23.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.38 Typical High $38.90 | Professional | TC · Technical part | $16.22 | $21.38 | $38.90 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $26.92 | $37.15 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.79 Typical High $25.70 | Professional | 26 · Professional part | $10.96 | $14.79 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $22.39 Typical High $44.67 | Professional | TC · Technical part | $15.49 | $22.39 | $44.67 |
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 $14.79 Median $25.70 Typical High $67.61 | Facility | 52 · Reduced service | $14.79 | $25.70 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.89 Median $10.23 Typical High $26.92 | Facility | 53 · Discontinued | $5.89 | $10.23 | $26.92 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $23.44 Median $50.12 Typical High $109.65 | Facility | FX · Film X-ray | $23.44 | $50.12 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $16.98 Typical High $18.62 | Professional | 52 · Reduced service | $14.79 | $16.98 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.76 Typical High $7.59 | Professional | 53 · Discontinued | $5.89 | $6.76 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $27.54 Typical High $30.20 | Professional | FX · Film X-ray | $24.55 | $27.54 | $30.20 |
Where California sits
The same service costs 4.1 times more in Alaska than in Florida. 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
$37.15
AK $117FL $28.84
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.