How much rates vary
Facilitymedian $263 · 10th to 90th $62 to $759Professionalmedian $112 · 10th to 90th $56 to $891
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 $33.11 Median $61.66 Typical High $2,570.40 | Facility | None | $33.11 | $61.66 | $2,570.40 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $43.65 Typical High $112.20 | Facility | TC · Technical part | $18.20 | $43.65 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $63.10 Typical High $239.88 | Professional | None (both parts) | $52.48 | $63.10 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $41.69 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.95 Typical High $173.78 | Professional | TC · Technical part | $15.85 | $19.95 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $23.99 Typical High $120.23 | Facility | None | $21.88 | $23.99 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $75.86 Typical High $467.74 | Professional | None (both parts) | $67.61 | $75.86 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $165.96 | Professional | 26 · Professional part | $44.67 | $50.12 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $323.59 | Professional | TC · Technical part | $22.39 | $26.30 | $323.59 |
Blue Shield Setting Facility Modifier None Typical Low $151.36 Median $562.34 Typical High $933.25 | Facility | None | $151.36 | $562.34 | $933.25 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $57.54 Median $81.28 Typical High $218.78 | Professional | None (both parts) | $57.54 | $81.28 | $218.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $128.82 | Professional | 26 · Professional part | $37.15 | $52.48 | $128.82 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.18 Typical High $79.43 | Professional | TC · Technical part | $19.95 | $28.18 | $79.43 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $151.36 | $208.93 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $208.93 Typical High $954.99 | Facility | None | $87.10 | $208.93 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $112.20 Typical High $269.15 | Professional | None (both parts) | $45.71 | $112.20 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $102.33 | Professional | 26 · Professional part | $36.31 | $45.71 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $69.18 Typical High $186.21 | Professional | TC · Technical part | $8.51 | $69.18 | $186.21 |
Contra Costa Health Setting Professional Modifier None Typical Low $45.71 Median $186.21 Typical High $251.19 | Professional | None | $45.71 | $186.21 | $251.19 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $17.38 | $46.77 | $63.10 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $28.18 | $138.04 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $181.97 Typical High $363.08 | Professional | None | $141.25 | $181.97 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $123.03 | Professional | 26 · Professional part | $39.81 | $57.54 | $123.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $371.54 | Professional | TC · Technical part | $109.65 | $165.96 | $371.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,174.90 | Professional | None (both parts) | $891.25 | $891.25 | $1,174.90 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $426.58 | $426.58 | $426.58 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $851.14 | Professional | TC · Technical part | $645.65 | $645.65 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $41.69 Typical High $154.88 | Professional | None (both parts) | $33.11 | $41.69 | $154.88 |
Providence Setting Facility Modifier None Typical Low $74.13 Median $144.54 Typical High $501.19 | Facility | None | $74.13 | $144.54 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $45.71 Median $112.20 Typical High $281.84 | Professional | None (both parts) | $45.71 | $112.20 | $281.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $102.33 | Professional | 26 · Professional part | $36.31 | $44.67 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $69.18 Typical High $186.21 | Professional | TC · Technical part | $8.51 | $69.18 | $186.21 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $275.42 | $275.42 | $275.42 |
United Setting Facility Modifier None Typical Low $87.10 Median $218.78 Typical High $263.03 | Facility | None | $87.10 | $218.78 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $154.88 Typical High $478.63 | Professional | None (both parts) | $63.10 | $154.88 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $51.29 Typical High $134.90 | Professional | 26 · Professional part | $32.36 | $51.29 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $102.33 Typical High $363.08 | Professional | TC · Technical part | $22.39 | $102.33 | $363.08 |
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 $16.22 Median $30.90 Typical High $54.95 | Facility | 52 · Reduced service | $16.22 | $30.90 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.61 Median $12.30 Typical High $24.55 | Facility | 53 · Discontinued | $6.61 | $12.30 | $24.55 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $21.38 Median $45.71 Typical High $89.13 | Facility | FX · Film X-ray | $21.38 | $45.71 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $28.18 Typical High $56.23 | Professional | 52 · Reduced service | $26.30 | $28.18 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.48 Typical High $22.91 | Professional | 53 · Discontinued | $10.47 | $11.48 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $45.71 Typical High $91.20 | Professional | FX · Film X-ray | $39.81 | $45.71 | $91.20 |
Where California sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 43rd of 51
$115
AK $525MI $75.86
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.