How much rates vary
Facilitymedian $457 · 10th to 90th $120 to $589Professionalmedian $129 · 10th to 90th $93 to $513
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 $100.00 Median $436.52 Typical High $2,344.23 | Facility | None | $100.00 | $436.52 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $177.83 | Professional | None | $93.33 | $107.15 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $123.03 Typical High $630.96 | Facility | None | $114.82 | $123.03 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $426.58 | Professional | None | $114.82 | $128.82 | $426.58 |
Blue Shield Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $316.23 | Professional | None | $89.13 | $128.82 | $316.23 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $354.81 | Professional | None | $112.20 | $141.25 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $478.63 Typical High $6,165.95 | Facility | None | $416.87 | $478.63 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $263.03 | Professional | None | $93.33 | $123.03 | $263.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $169.82 | Professional | None | $93.33 | $125.89 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $309.03 | Professional | None | $102.33 | $131.83 | $309.03 |
Lucent Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $125.89 | Professional | None | $33.11 | $33.11 | $125.89 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $147.91 Typical High $524.81 | Facility | None | $100.00 | $147.91 | $524.81 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $263.03 | Professional | None | $93.33 | $117.49 | $263.03 |
Sutter Health Plus Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $83.18 Median $138.04 Typical High $371.54 | Professional | None | $83.18 | $138.04 | $371.54 |
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 $50.12 Median $125.89 Typical High $302.00 | Facility | 52 · Reduced service | $50.12 | $125.89 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $50.12 Typical High $123.03 | Facility | 53 · Discontinued | $19.95 | $50.12 | $123.03 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $79.43 Median $204.17 Typical High $489.78 | Facility | FX · Film X-ray | $79.43 | $204.17 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $50.12 Typical High $53.70 | Professional | 52 · Reduced service | $46.77 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $21.38 | Professional | 53 · Discontinued | $18.62 | $19.95 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $79.43 Typical High $85.11 | Professional | FX · Film X-ray | $72.44 | $79.43 | $85.11 |
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· 33rd of 51
$132
AK $437NY $105
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.