How much rates vary
Facilitymedian $174 · 10th to 90th $93 to $2,138Professionalmedian $120 · 10th to 90th $91 to $661
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 $91.20 Median $398.11 Typical High $2,344.23 | Facility | None | $91.20 | $398.11 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $177.83 | Professional | None | $91.20 | $100.00 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $112.20 Typical High $562.34 | Facility | None | $102.33 | $112.20 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $398.11 | Professional | None | $100.00 | $109.65 | $398.11 |
Blue Shield Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $281.84 | Professional | None | $77.62 | $112.20 | $281.84 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $194.98 | Professional | None | $112.20 | $141.25 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $436.52 Typical High $6,165.95 | Facility | None | $380.19 | $436.52 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $245.47 | Professional | None | $87.10 | $109.65 | $245.47 |
Contra Costa Health Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $169.82 | Professional | None | $79.43 | $125.89 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $338.84 | Professional | None | $102.33 | $131.83 | $338.84 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $891.25 | Professional | None | $660.69 | $660.69 | $891.25 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $104.71 | Professional | None | $33.11 | $33.11 | $104.71 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $131.83 Typical High $478.63 | Facility | None | $93.33 | $131.83 | $478.63 |
Providence Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $245.47 | Professional | None | $87.10 | $109.65 | $245.47 |
Sutter Health Plus Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $75.86 Median $134.90 Typical High $363.08 | Professional | None | $75.86 | $134.90 | $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 $45.71 Median $114.82 Typical High $281.84 | Facility | 52 · Reduced service | $45.71 | $114.82 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $46.77 Typical High $112.20 | Facility | 53 · Discontinued | $18.20 | $46.77 | $112.20 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $72.44 Median $186.21 Typical High $446.68 | Facility | FX · Film X-ray | $72.44 | $186.21 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $45.71 Typical High $53.70 | Professional | 52 · Reduced service | $42.66 | $45.71 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.20 Typical High $21.38 | Professional | 53 · Discontinued | $16.98 | $18.20 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $72.44 Typical High $83.18 | Professional | FX · Film X-ray | $67.61 | $72.44 | $83.18 |
Where California sits
The same service costs 4.4 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· 37th of 51
$120
AK $437NY $100
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.