How much rates vary
Facilitymedian $490 · 10th to 90th $457 to $5,623Professionalmedian $490 · 10th to 90th $355 to $5,129
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 $371.54 Median $1,584.89 Typical High $2,630.27 | Facility | None | $371.54 | $1,584.89 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $724.44 | Professional | None | $363.08 | $407.38 | $724.44 |
Ambetter Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $489.78 Typical High $35,481.34 | Facility | None | $426.58 | $489.78 | $35,481.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $1,659.59 | Professional | None | $426.58 | $478.63 | $1,659.59 |
Blue Shield Setting Facility Modifier None Typical Low $28,840.32 Median $33,113.11 Typical High $36,307.81 | Facility | None | $28,840.32 | $33,113.11 | $36,307.81 |
Blue Shield Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $1,202.26 | Professional | None | $338.84 | $478.63 | $1,202.26 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $691.83 | Professional | None | $426.58 | $549.54 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $40,738.03 Typical High $57,543.99 | Facility | None | $5,623.41 | $40,738.03 | $57,543.99 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $912.01 | Professional | None | $338.84 | $436.52 | $912.01 |
Contra Costa Health Setting Professional Modifier None Typical Low $281.84 Median $501.19 Typical High $676.08 | Professional | None | $281.84 | $501.19 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $501.19 Typical High $1,318.26 | Professional | None | $407.38 | $501.19 | $1,318.26 |
Lucent Health Setting Professional Modifier None Typical Low $5,128.61 Median $14,791.08 Typical High $14,791.08 | Professional | None | $5,128.61 | $14,791.08 | $14,791.08 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $416.87 | Professional | None | $33.11 | $33.11 | $416.87 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $41,686.94 | Facility | None | $389.05 | $588.84 | $41,686.94 |
Providence Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $912.01 | Professional | None | $338.84 | $436.52 | $912.01 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
United Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
United Setting Professional Modifier None Typical Low $316.23 Median $549.54 Typical High $1,445.44 | Professional | None | $316.23 | $549.54 | $1,445.44 |
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 $186.21 Median $478.63 Typical High $1,148.15 | Facility | 52 · Reduced service | $186.21 | $478.63 | $1,148.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $190.55 Typical High $457.09 | Facility | 53 · Discontinued | $74.13 | $190.55 | $457.09 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $295.12 Median $758.58 Typical High $1,819.70 | Facility | FX · Film X-ray | $295.12 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $186.21 Typical High $208.93 | Professional | 52 · Reduced service | $173.78 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $74.13 Typical High $85.11 | Professional | 53 · Discontinued | $70.79 | $74.13 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $295.12 Typical High $338.84 | Professional | FX · Film X-ray | $281.84 | $295.12 | $338.84 |
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· 40th of 51
$490
AK $1,698NY $407
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.