How much rates vary
Facilitymedian $562 · 10th to 90th $93 to $2,455Professionalmedian $129 · 10th to 90th $95 to $525
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 $93.33 Median $125.89 Typical High $1,819.70 | Facility | None | $93.33 | $125.89 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $131.83 Typical High $316.23 | Facility | TC · Technical part | $52.48 | $131.83 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $104.71 | $120.23 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $109.65 | Professional | 26 · Professional part | $58.88 | $67.61 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $66.07 | Professional | TC · Technical part | $45.71 | $52.48 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $489.78 Typical High $512.86 | Facility | None | $50.12 | $489.78 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $467.74 | Professional | None (both parts) | $104.71 | $117.49 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $288.40 | Professional | 26 · Professional part | $56.23 | $67.61 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $245.47 | Professional | TC · Technical part | $41.69 | $58.88 | $245.47 |
Blue Shield Setting Facility Modifier None Typical Low $398.11 Median $1,819.70 Typical High $2,818.38 | Facility | None | $398.11 | $1,819.70 | $2,818.38 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $380.19 | Professional | None (both parts) | $123.03 | $173.78 | $380.19 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $204.17 | Professional | 26 · Professional part | $63.10 | $89.13 | $204.17 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $60.26 | $85.11 | $177.83 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $588.84 | Professional | None (both parts) | $104.71 | $134.90 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $257.04 Typical High $6,165.95 | Facility | None | $83.18 | $257.04 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $134.90 Typical High $380.19 | Professional | None (both parts) | $75.86 | $134.90 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $190.55 | Professional | 26 · Professional part | $54.95 | $70.79 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $42.66 Typical High $213.80 | Professional | TC · Technical part | $20.42 | $42.66 | $213.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $144.54 | Professional | None | $79.43 | $120.23 | $144.54 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $95.50 | Professional | 26 · Professional part | $57.54 | $79.43 | $95.50 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $39.81 Typical High $47.86 | Professional | TC · Technical part | $22.39 | $39.81 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $269.15 | Professional | None | $102.33 | $128.82 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $223.87 | Professional | 26 · Professional part | $72.44 | $102.33 | $223.87 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $48.98 Typical High $112.20 | Professional | TC · Technical part | $36.31 | $48.98 | $112.20 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $1,737.80 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $562.34 | Professional | 26 · Professional part | $512.86 | $512.86 | $562.34 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $1,412.54 | $1,412.54 | $1,412.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $66.07 Typical High $91.20 | Professional | None (both parts) | $25.12 | $66.07 | $91.20 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $251.19 Typical High $323.59 | Facility | None | $114.82 | $251.19 | $323.59 |
Providence Setting Professional Modifier None (both parts) Typical Low $75.86 Median $128.82 Typical High $371.54 | Professional | None (both parts) | $75.86 | $128.82 | $371.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $186.21 | Professional | 26 · Professional part | $54.95 | $70.79 | $186.21 |
Providence Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $42.66 Typical High $218.78 | Professional | TC · Technical part | $20.42 | $42.66 | $218.78 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $331.13 | Professional | None (both parts) | $91.20 | $100.00 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $213.80 | Professional | 26 · Professional part | $52.48 | $69.18 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.90 Typical High $117.49 | Professional | TC · Technical part | $25.70 | $30.90 | $117.49 |
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 $46.77 Median $66.07 Typical High $158.49 | Facility | 52 · Reduced service | $46.77 | $66.07 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $26.30 Typical High $69.18 | Facility | 53 · Discontinued | $18.62 | $26.30 | $69.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $60.26 Median $104.71 Typical High $251.19 | Facility | FX · Film X-ray | $60.26 | $104.71 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $57.54 Typical High $63.10 | Professional | 52 · Reduced service | $50.12 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $19.95 | $22.91 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $91.20 Typical High $100.00 | Professional | FX · Film X-ray | $79.43 | $91.20 | $100.00 |
Where California sits
The same service costs 5.2 times more in Alaska than in Texas. 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· 19th of 51
$135
AK $309TX $58.88
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.