How much rates vary
Facilitymedian $3,981 · 10th to 90th $224 to $8,511Professionalmedian $1,047 · 10th to 90th $209 to $7,413
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 $1,819.70 Median $2,398.83 Typical High $2,754.23 | Facility | None | $1,819.70 | $2,398.83 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,884.03 | Professional | None | $2,398.83 | $2,511.89 | $2,884.03 |
Ambetter Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $251.19 | Facility | None | $186.21 | $223.87 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $562.34 | Professional | None | $204.17 | $218.78 | $562.34 |
Blue Shield Setting Facility Modifier None Typical Low $1,584.89 Median $5,754.40 Typical High $9,772.37 | Facility | None | $1,584.89 | $5,754.40 | $9,772.37 |
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 $1,174.90 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $6,165.95 | Facility | None | $2,137.96 | $4,786.30 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $2,041.74 | Professional | None | $851.14 | $1,047.13 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $2,754.23 | Professional | None | $1,047.13 | $1,288.25 | $2,754.23 |
Lucent Health Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $9,549.93 | Professional | None | $7,413.10 | $7,413.10 | $9,549.93 |
Molina Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Providence Setting Facility Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $6,606.93 | Facility | None | $2,238.72 | $3,548.13 | $6,606.93 |
Providence Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,380.38 | Professional | None | $851.14 | $1,174.90 | $1,380.38 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,162.28 | Facility | None | $2,041.74 | $2,041.74 | $3,162.28 |
United Setting Professional Modifier None Typical Low $114.82 Median $1,288.25 Typical High $4,365.16 | Professional | None | $114.82 | $1,288.25 | $4,365.16 |
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 $1,202.26 Median $2,398.83 Typical High $6,165.95 | Facility | 52 · Reduced service | $1,202.26 | $2,398.83 | $6,165.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $501.19 Median $1,445.44 Typical High $2,630.27 | Facility | 53 · Discontinued | $501.19 | $1,445.44 | $2,630.27 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $1,905.46 Median $5,011.87 Typical High $10,471.29 | Facility | FX · Film X-ray | $1,905.46 | $5,011.87 | $10,471.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $1,202.26 Typical High $1,258.93 | Professional | 52 · Reduced service | $549.54 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $190.55 | $501.19 | $501.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $812.83 Median $1,905.46 Typical High $1,995.26 | Professional | FX · Film X-ray | $812.83 | $1,905.46 | $1,995.26 |
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· 37th of 51
$1,175
AK $4,365NY $67.61
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.