How much rates vary
Facilitymedian $2,692 · 10th to 90th $178 to $5,754Professionalmedian $955 · 10th to 90th $166 to $5,623
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 $1,380.38 Median $1,819.70 Typical High $2,754.23 | Facility | None | $1,380.38 | $1,819.70 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,584.89 | Professional | None | $1,380.38 | $1,380.38 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $177.83 Typical High $199.53 | Facility | None | $151.36 | $177.83 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $446.68 | Professional | None | $162.18 | $173.78 | $446.68 |
Blue Shield Setting Facility Modifier None Typical Low $933.25 Median $3,801.89 Typical High $6,456.54 | Facility | None | $933.25 | $3,801.89 | $6,456.54 |
Blue Shield Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $1,819.70 | Professional | None | $660.69 | $954.99 | $1,819.70 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $3,235.94 Typical High $5,623.41 | Facility | None | $1,819.70 | $3,235.94 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $1,659.59 | Professional | None | $724.44 | $891.25 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $2,398.83 | Professional | None | $912.01 | $1,122.02 | $2,398.83 |
Lucent Health Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $8,317.64 | Professional | None | $5,623.41 | $5,623.41 | $8,317.64 |
Molina Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Providence Setting Facility Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $4,570.88 | Facility | None | $1,380.38 | $2,041.74 | $4,570.88 |
Providence Setting Professional Modifier None Typical Low $724.44 Median $1,023.29 Typical High $1,174.90 | Professional | None | $724.44 | $1,023.29 | $1,174.90 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,380.38 | Facility | None | $912.01 | $912.01 | $1,380.38 |
United Setting Professional Modifier None Typical Low $102.33 Median $1,122.02 Typical High $3,801.89 | Professional | None | $102.33 | $1,122.02 | $3,801.89 |
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 $691.83 Median $1,412.54 Typical High $3,388.44 | Facility | 52 · Reduced service | $691.83 | $1,412.54 | $3,388.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $275.42 Median $562.34 Typical High $1,380.38 | Facility | 53 · Discontinued | $275.42 | $562.34 | $1,380.38 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $1,096.48 Median $2,884.03 Typical High $5,754.40 | Facility | FX · Film X-ray | $1,096.48 | $2,884.03 | $5,754.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $478.63 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $190.55 | $275.42 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $707.95 Median $1,096.48 Typical High $1,096.48 | Professional | FX · Film X-ray | $707.95 | $1,096.48 | $1,096.48 |
Where California sits
The same service costs 64.6 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· 33rd of 51
$955
AK $3,715NY $57.54
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.