How much rates vary
Facilitymedian $219 · 10th to 90th $12 to $575Professionalmedian $11 · 10th to 90th $7 to $759
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 $8.91 Median $11.48 Typical High $1,819.70 | Facility | None | $8.91 | $11.48 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $7.94 Median $20.42 Typical High $52.48 | Facility | TC · Technical part | $7.94 | $20.42 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.76 Median $10.47 Typical High $11.48 | Professional | None (both parts) | $6.76 | $10.47 | $11.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.19 Median $2.40 Typical High $2.51 | Professional | 26 · Professional part | $2.19 | $2.40 | $2.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $7.94 Typical High $9.12 | Professional | TC · Technical part | $4.27 | $7.94 | $9.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None (both parts) | $6.03 | $6.03 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.40 Median $38.90 Typical High $39.81 | Facility | None | $2.40 | $38.90 | $39.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2.34 Median $10.00 Typical High $40.74 | Professional | None (both parts) | $2.34 | $10.00 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.34 Median $2.57 Typical High $12.88 | Professional | 26 · Professional part | $2.34 | $2.57 | $12.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $5.50 Median $8.13 Typical High $44.67 | Professional | TC · Technical part | $5.50 | $8.13 | $44.67 |
Blue Shield Setting Facility Modifier None Typical Low $77.62 Median $257.04 Typical High $407.38 | Facility | None | $77.62 | $257.04 | $407.38 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $11.22 Median $16.22 Typical High $25.12 | Professional | None (both parts) | $11.22 | $16.22 | $25.12 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $3.63 Typical High $6.03 | Professional | 26 · Professional part | $2.51 | $3.63 | $6.03 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $12.59 Typical High $19.50 | Professional | TC · Technical part | $8.71 | $12.59 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $275.42 Typical High $676.08 | Facility | None | $15.85 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5.89 Median $11.22 Typical High $38.02 | Professional | None (both parts) | $5.89 | $11.22 | $38.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $2.82 Typical High $5.75 | Professional | 26 · Professional part | $2.29 | $2.82 | $5.75 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $7.76 Typical High $34.67 | Professional | TC · Technical part | $3.63 | $7.76 | $34.67 |
Contra Costa Health Setting Professional Modifier None Typical Low $9.55 Median $10.72 Typical High $12.88 | Professional | None | $9.55 | $10.72 | $12.88 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $3.24 Typical High $3.89 | Professional | 26 · Professional part | $2.88 | $3.24 | $3.89 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $7.41 Typical High $9.12 | Professional | TC · Technical part | $6.76 | $7.41 | $9.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.59 Median $9.33 Typical High $18.62 | Professional | None | $7.59 | $9.33 | $18.62 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $3.47 Typical High $7.76 | Professional | 26 · Professional part | $2.63 | $3.47 | $7.76 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $5.50 Median $7.76 Typical High $18.20 | Professional | TC · Technical part | $5.50 | $7.76 | $18.20 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $758.58 | $776.25 | $776.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | 26 · Professional part | $74.13 | $74.13 | $81.28 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $741.31 | $758.58 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $2.69 Median $4.27 Typical High $33.11 | Professional | None (both parts) | $2.69 | $4.27 | $33.11 |
Providence Setting Facility Modifier None Typical Low $10.96 Median $194.98 Typical High $602.56 | Facility | None | $10.96 | $194.98 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $5.89 Median $11.22 Typical High $37.15 | Professional | None (both parts) | $5.89 | $11.22 | $37.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $2.82 Typical High $4.79 | Professional | 26 · Professional part | $2.29 | $2.82 | $4.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $7.24 Typical High $34.67 | Professional | TC · Technical part | $3.63 | $7.24 | $34.67 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None (both parts) | $22.91 | $22.91 | $22.91 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $8.71 | $8.71 | $8.71 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | TC · Technical part | $13.80 | $13.80 | $13.80 |
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 $6.76 Median $8.51 Typical High $26.92 | Professional | None (both parts) | $6.76 | $8.51 | $26.92 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.19 Median $2.88 Typical High $5.50 | Professional | 26 · Professional part | $2.19 | $2.88 | $5.50 |
United Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $5.25 Typical High $19.50 | Professional | TC · Technical part | $4.07 | $5.25 | $19.50 |
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 $5.25 Median $10.23 Typical High $26.30 | Facility | 52 · Reduced service | $5.25 | $10.23 | $26.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.04 Median $4.07 Typical High $10.47 | Facility | 53 · Discontinued | $2.04 | $4.07 | $10.47 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $8.32 Median $19.95 Typical High $42.66 | Facility | FX · Film X-ray | $8.32 | $19.95 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.39 Median $5.25 Typical High $5.75 | Professional | 52 · Reduced service | $3.39 | $5.25 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $2.04 Typical High $2.29 | Professional | 53 · Discontinued | $1.35 | $2.04 | $2.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $5.37 Median $8.32 Typical High $9.12 | Professional | FX · Film X-ray | $5.37 | $8.32 | $9.12 |
Where California sits
The same service costs 4.2 times more in Kansas 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· 17th of 51
$11.48
KS $23.99FL $5.75
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.