How much rates vary
Facilitymedian $209 · 10th to 90th $158 to $1,413Professionalmedian $251 · 10th to 90th $178 to $1,175
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 $190.55 Median $1,318.26 Typical High $2,754.23 | Facility | None | $190.55 | $1,318.26 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $371.54 Typical High $977.24 | Facility | TC · Technical part | $158.49 | $371.54 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $467.74 | Professional | None (both parts) | $169.82 | $218.78 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $35.48 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $416.87 | Professional | TC · Technical part | $141.25 | $181.97 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $316.23 | Professional | None (both parts) | $251.19 | $251.19 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $42.66 Typical High $56,234.13 | Facility | None | $37.15 | $42.66 | $56,234.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $1,096.48 | Professional | None (both parts) | $194.98 | $218.78 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $141.25 | Professional | 26 · Professional part | $37.15 | $41.69 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $177.83 Typical High $954.99 | Professional | TC · Technical part | $154.88 | $177.83 | $954.99 |
Blue Shield Setting Facility Modifier None Typical Low $169.82 Median $954.99 Typical High $1,698.24 | Facility | None | $169.82 | $954.99 | $1,698.24 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $141.25 Median $204.17 Typical High $537.03 | Professional | None (both parts) | $141.25 | $204.17 | $537.03 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $104.71 | Professional | 26 · Professional part | $28.84 | $40.74 | $104.71 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $436.52 | Professional | TC · Technical part | $114.82 | $162.18 | $436.52 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $338.84 Typical High $416.87 | Professional | None (both parts) | $147.91 | $338.84 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $602.56 Typical High $1,548.82 | Facility | None | $295.12 | $602.56 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $257.04 Typical High $616.60 | Professional | None (both parts) | $190.55 | $257.04 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $89.13 | Professional | 26 · Professional part | $30.90 | $39.81 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $549.54 | Professional | TC · Technical part | $154.88 | $218.78 | $549.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $79.43 Median $371.54 Typical High $501.19 | Professional | None | $79.43 | $371.54 | $501.19 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $9.55 | $43.65 | $60.26 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $331.13 Typical High $446.68 | Professional | TC · Technical part | $70.79 | $331.13 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $724.44 | Professional | None | $281.84 | $354.81 | $724.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $117.49 | Professional | 26 · Professional part | $38.02 | $54.95 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $389.05 Typical High $870.96 | Professional | TC · Technical part | $257.04 | $389.05 | $870.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,398.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $724.44 | $724.44 | $724.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $1,659.59 Typical High $2,041.74 | Professional | TC · Technical part | $1,659.59 | $1,659.59 | $2,041.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $302.00 | Professional | None (both parts) | $33.11 | $44.67 | $302.00 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $354.81 Typical High $776.25 | Facility | None | $199.53 | $354.81 | $776.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $616.60 | Professional | None (both parts) | $190.55 | $251.19 | $616.60 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $91.20 | Professional | 26 · Professional part | $30.90 | $38.90 | $91.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $562.34 | Professional | TC · Technical part | $154.88 | $218.78 | $562.34 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $812.83 | $812.83 | $812.83 |
United Setting Facility Modifier None Typical Low $158.49 Median $208.93 Typical High $208.93 | Facility | None | $158.49 | $208.93 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $354.81 Typical High $977.24 | Professional | None (both parts) | $138.04 | $354.81 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $47.86 Typical High $128.82 | Professional | 26 · Professional part | $26.92 | $47.86 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $309.03 Typical High $912.01 | Professional | TC · Technical part | $114.82 | $309.03 | $912.01 |
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 $95.50 Median $204.17 Typical High $489.78 | Facility | 52 · Reduced service | $95.50 | $204.17 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $81.28 Typical High $213.80 | Facility | 53 · Discontinued | $38.02 | $81.28 | $213.80 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $154.88 Median $323.59 Typical High $776.25 | Facility | FX · Film X-ray | $154.88 | $323.59 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $95.50 Typical High $138.04 | Professional | 52 · Reduced service | $85.11 | $95.50 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $54.95 | Professional | 53 · Discontinued | $33.88 | $38.02 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $154.88 Typical High $204.17 | Professional | FX · Film X-ray | $138.04 | $154.88 | $204.17 |
Where California sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 45th of 51
$251
AK $977KY $224
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.