How much rates vary
Facilitymedian $417 · 10th to 90th $79 to $417Professionalmedian $85 · 10th to 90th $62 to $316
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 $66.07 Median $295.12 Typical High $2,344.23 | Facility | None | $66.07 | $295.12 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $128.82 | Professional | None | $61.66 | $72.44 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $81.28 Typical High $416.87 | Facility | None | $75.86 | $81.28 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $281.84 | Professional | None | $75.86 | $85.11 | $281.84 |
Blue Shield Setting Professional Modifier None Typical Low $58.88 Median $85.11 Typical High $208.93 | Professional | None | $58.88 | $85.11 | $208.93 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $331.13 | Professional | None | $74.13 | $93.33 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $6,165.95 | Facility | None | $275.42 | $316.23 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $81.28 Typical High $177.83 | Professional | None | $63.10 | $81.28 | $177.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $112.20 | Professional | None | $61.66 | $83.18 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $181.97 | Professional | None | $67.61 | $85.11 | $181.97 |
Lucent Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | None | $33.11 | $33.11 | $70.79 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $97.72 Typical High $346.74 | Facility | None | $66.07 | $97.72 | $346.74 |
Providence Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $173.78 | Professional | None | $63.10 | $77.62 | $173.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $54.95 Median $91.20 Typical High $239.88 | Professional | None | $54.95 | $91.20 | $239.88 |
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 $33.11 Median $85.11 Typical High $204.17 | Facility | 52 · Reduced service | $33.11 | $85.11 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $33.88 Typical High $81.28 | Facility | 53 · Discontinued | $13.18 | $33.88 | $81.28 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $52.48 Median $134.90 Typical High $323.59 | Facility | FX · Film X-ray | $52.48 | $134.90 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $33.11 Typical High $35.48 | Professional | 52 · Reduced service | $30.90 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.18 Typical High $14.13 | Professional | 53 · Discontinued | $12.59 | $13.18 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $52.48 Typical High $56.23 | Professional | FX · Film X-ray | $47.86 | $52.48 | $56.23 |
Where California sits
The same service costs 4.2 times more in Alaska than in New York. 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· 35th of 51
$85.11
AK $282NY $67.61
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.