How much rates vary
Facilitymedian $3,981 · 10th to 90th $195 to $8,511Professionalmedian $1,000 · 10th to 90th $182 to $10,965
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 $2,344.23 Typical High $2,754.23 | Facility | None | $1,819.70 | $2,344.23 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,570.40 | Professional | None | $2,344.23 | $2,344.23 | $2,570.40 |
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 $181.97 Median $199.53 Typical High $234.42 | Facility | None | $181.97 | $199.53 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $4,265.80 | Professional | None | $177.83 | $190.55 | $4,265.80 |
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 $1,318.26 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $4,786.30 Typical High $6,165.95 | Facility | None | $2,344.23 | $4,786.30 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $2,187.76 | Professional | None | $933.25 | $1,148.15 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $3,090.30 | Professional | None | $1,202.26 | $1,445.44 | $3,090.30 |
Lucent Health Setting Professional Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | None | $11,481.54 | $11,481.54 | $11,481.54 |
Molina Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Providence Setting Facility Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $6,456.54 | Facility | None | $2,344.23 | $3,311.31 | $6,456.54 |
Providence Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,513.56 | Professional | None | $933.25 | $1,318.26 | $1,513.56 |
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 $851.14 Median $1,445.44 Typical High $4,897.79 | Professional | None | $851.14 | $1,445.44 | $4,897.79 |
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 $1,148.15 Median $2,344.23 Typical High $5,754.40 | Facility | 52 · Reduced service | $1,148.15 | $2,344.23 | $5,754.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $467.74 Median $954.99 Typical High $2,454.71 | Facility | 53 · Discontinued | $467.74 | $954.99 | $2,454.71 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $1,862.09 Median $4,897.79 Typical High $9,772.37 | Facility | FX · Film X-ray | $1,862.09 | $4,897.79 | $9,772.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $616.60 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $245.47 | $467.74 | $467.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $912.01 Median $1,862.09 Typical High $1,862.09 | Professional | FX · Film X-ray | $912.01 | $1,862.09 | $1,862.09 |
Where California sits
The same service costs 70.8 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
$1,175
AK $4,786NY $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.