How much rates vary
Facilitymedian $468 · 10th to 90th $132 to $4,677Professionalmedian $251 · 10th to 90th $162 to $3,090
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 $194.98 Median $1,584.89 Typical High $2,951.21 | Facility | None | $194.98 | $1,584.89 | $2,951.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $245.47 Typical High $616.60 | Facility | TC · Technical part | $100.00 | $245.47 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $162.18 | $204.17 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $190.55 | Professional | 26 · Professional part | $91.20 | $107.15 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $100.00 Typical High $194.98 | Professional | TC · Technical part | $45.71 | $100.00 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $114.82 | $281.84 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $56,234.13 | Facility | None | $112.20 | $125.89 | $56,234.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $794.33 | Professional | None (both parts) | $199.53 | $263.03 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $436.52 | Professional | 26 · Professional part | $112.20 | $123.03 | $436.52 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $125.89 Typical High $602.56 | Professional | TC · Technical part | $64.57 | $125.89 | $602.56 |
Blue Shield Setting Facility Modifier None Typical Low $616.60 Median $3,019.95 Typical High $5,495.41 | Facility | None | $616.60 | $3,019.95 | $5,495.41 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $204.17 | $288.40 | $602.56 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $316.23 | Professional | 26 · Professional part | $93.33 | $131.83 | $316.23 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $158.49 Typical High $316.23 | Professional | TC · Technical part | $95.50 | $158.49 | $316.23 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $616.60 | Professional | None (both parts) | $158.49 | $204.17 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $489.78 Typical High $5,623.41 | Facility | None | $58.88 | $489.78 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $245.47 Typical High $645.65 | Professional | None (both parts) | $128.82 | $245.47 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $263.03 | Professional | 26 · Professional part | $91.20 | $117.49 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $81.28 Typical High $446.68 | Professional | TC · Technical part | $35.48 | $81.28 | $446.68 |
Contra Costa Health Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $245.47 | Professional | None | $117.49 | $181.97 | $245.47 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $125.89 | $169.82 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $32.36 | $53.70 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $416.87 | Professional | None | $144.54 | $181.97 | $416.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $154.88 Typical High $338.84 | Professional | 26 · Professional part | $109.65 | $154.88 | $338.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $64.57 Typical High $144.54 | Professional | TC · Technical part | $42.66 | $64.57 | $144.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,090.30 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | 26 · Professional part | $891.25 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $2,570.40 | $2,570.40 | $2,570.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $42.66 Typical High $162.18 | Professional | None (both parts) | $33.11 | $42.66 | $162.18 |
Providence Setting Facility Modifier None Typical Low $131.83 Median $302.00 Typical High $3,630.78 | Facility | None | $131.83 | $302.00 | $3,630.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $128.82 Median $245.47 Typical High $645.65 | Professional | None (both parts) | $128.82 | $245.47 | $645.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $263.03 | Professional | 26 · Professional part | $91.20 | $112.20 | $263.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $81.28 Typical High $446.68 | Professional | TC · Technical part | $33.11 | $81.28 | $446.68 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $354.81 | $354.81 | $354.81 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $588.84 | Professional | None (both parts) | $138.04 | $190.55 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $138.04 Typical High $371.54 | Professional | 26 · Professional part | $81.28 | $138.04 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $51.29 Typical High $323.59 | Professional | TC · Technical part | $30.90 | $51.29 | $323.59 |
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 $85.11 Median $128.82 Typical High $309.03 | Facility | 52 · Reduced service | $85.11 | $128.82 | $309.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $51.29 Typical High $134.90 | Facility | 53 · Discontinued | $33.88 | $51.29 | $134.90 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $117.49 Median $204.17 Typical High $489.78 | Facility | FX · Film X-ray | $117.49 | $204.17 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $97.72 Typical High $109.65 | Professional | 52 · Reduced service | $74.13 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $39.81 Typical High $43.65 | Professional | 53 · Discontinued | $29.51 | $39.81 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $158.49 Typical High $173.78 | Professional | FX · Film X-ray | $114.82 | $158.49 | $173.78 |
Where California sits
The same service costs 5.1 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· 12th of 51
$257
AK $575FL $112
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.