How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,175 to $11,749Professionalmedian $2,455 · 10th to 90th $1,820 to $14,125
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 $1,819.70 Median $2,398.83 Typical High $38,904.51 | Facility | None | $1,819.70 | $2,398.83 | $38,904.51 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,737.80 Median $4,073.80 Typical High $10,715.19 | Facility | TC · Technical part | $1,737.80 | $4,073.80 | $10,715.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,344.23 Typical High $4,168.69 | Professional | None (both parts) | $1,905.46 | $2,344.23 | $4,168.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $407.38 Typical High $724.44 | Professional | 26 · Professional part | $346.74 | $407.38 | $724.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,905.46 Typical High $3,388.44 | Professional | TC · Technical part | $1,548.82 | $1,905.46 | $3,388.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,454.71 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,454.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $407.38 Typical High $457.09 | Professional | 26 · Professional part | $363.08 | $407.38 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $489.78 Typical High $56,234.13 | Facility | None | $426.58 | $489.78 | $56,234.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,511.89 Typical High $8,709.64 | Professional | None (both parts) | $1,819.70 | $2,511.89 | $8,709.64 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $478.63 Typical High $1,584.89 | Professional | 26 · Professional part | $426.58 | $478.63 | $1,584.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $2,041.74 Typical High $7,079.46 | Professional | TC · Technical part | $1,479.11 | $2,041.74 | $7,079.46 |
Blue Shield Setting Facility Modifier None Typical Low $1,584.89 Median $7,762.47 Typical High $13,803.84 | Facility | None | $1,584.89 | $7,762.47 | $13,803.84 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,187.76 Typical High $5,495.41 | Professional | None (both parts) | $1,548.82 | $2,187.76 | $5,495.41 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $371.54 Typical High $977.24 | Professional | 26 · Professional part | $263.03 | $371.54 | $977.24 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,819.70 Typical High $4,466.84 | Professional | TC · Technical part | $1,288.25 | $1,819.70 | $4,466.84 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,454.71 Typical High $3,019.95 | Professional | None (both parts) | $1,737.80 | $2,454.71 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $6,165.95 Typical High $9,549.93 | Facility | None | $2,951.21 | $6,165.95 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,187.76 Typical High $4,677.35 | Professional | None (both parts) | $1,659.59 | $2,187.76 | $4,677.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $436.52 Typical High $912.01 | Professional | 26 · Professional part | $338.84 | $436.52 | $912.01 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,819.70 Typical High $4,073.80 | Professional | TC · Technical part | $1,318.26 | $1,819.70 | $4,073.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,230.27 Median $2,630.27 Typical High $3,630.78 | Professional | None | $1,230.27 | $2,630.27 | $3,630.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $501.19 Typical High $676.08 | Professional | 26 · Professional part | $245.47 | $501.19 | $676.08 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $2,137.96 Typical High $2,951.21 | Professional | TC · Technical part | $1,000.00 | $2,137.96 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $5,128.61 | Professional | None | $2,041.74 | $2,570.40 | $5,128.61 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $616.60 Typical High $1,318.26 | Professional | 26 · Professional part | $426.58 | $616.60 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $2,570.40 Typical High $5,754.40 | Professional | TC · Technical part | $1,698.24 | $2,570.40 | $5,754.40 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $14,125.38 Median $14,125.38 Typical High $16,982.44 | Professional | None (both parts) | $14,125.38 | $14,125.38 | $16,982.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,951.21 Median $2,951.21 Typical High $3,467.37 | Professional | 26 · Professional part | $2,951.21 | $2,951.21 | $3,467.37 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $9,332.54 Median $9,332.54 Typical High $13,489.63 | Professional | TC · Technical part | $9,332.54 | $9,332.54 | $13,489.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $489.78 Typical High $2,041.74 | Professional | None (both parts) | $33.11 | $489.78 | $2,041.74 |
Providence Setting Facility Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $8,709.64 | Facility | None | $2,137.96 | $3,162.28 | $8,709.64 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,137.96 Typical High $4,677.35 | Professional | None (both parts) | $1,659.59 | $2,137.96 | $4,677.35 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $426.58 Typical High $891.25 | Professional | 26 · Professional part | $338.84 | $426.58 | $891.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,778.28 Typical High $4,365.16 | Professional | TC · Technical part | $1,318.26 | $1,778.28 | $4,365.16 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None (both parts) | $6,456.54 | $6,456.54 | $6,456.54 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 26 · Professional part | $1,380.38 | $1,380.38 | $1,380.38 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | TC · Technical part | $5,011.87 | $5,011.87 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $2,454.71 Typical High $6,760.83 | Professional | None (both parts) | $1,621.81 | $2,454.71 | $6,760.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $537.03 Typical High $1,445.44 | Professional | 26 · Professional part | $309.03 | $537.03 | $1,445.44 |
United Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,905.46 Typical High $5,623.41 | Professional | TC · Technical part | $1,288.25 | $1,905.46 | $5,623.41 |
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 $1,047.13 Median $2,238.72 Typical High $5,370.32 | Facility | 52 · Reduced service | $1,047.13 | $2,238.72 | $5,370.32 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $426.58 Median $891.25 Typical High $2,137.96 | Facility | 53 · Discontinued | $426.58 | $891.25 | $2,137.96 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $1,698.24 Median $3,548.13 Typical High $8,511.38 | Facility | FX · Film X-ray | $1,698.24 | $3,548.13 | $8,511.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $1,047.13 Typical High $1,202.26 | Professional | 52 · Reduced service | $891.25 | $1,047.13 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $426.58 Typical High $478.63 | Professional | 53 · Discontinued | $363.08 | $426.58 | $478.63 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,445.44 Median $1,698.24 Typical High $1,905.46 | Professional | FX · Film X-ray | $1,445.44 | $1,698.24 | $1,905.46 |
Where California sits
The same service costs 4.4 times more in Alaska 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· 21st of 51
$2,455
AK $6,918FL $1,585
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.