How much rates vary
Facilitymedian $389 · 10th to 90th $138 to $1,862Professionalmedian $437 · 10th to 90th $309 to $2,512
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 $338.84 Median $2,137.96 Typical High $13,803.84 | Facility | None | $338.84 | $2,137.96 | $13,803.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $269.15 Typical High $645.65 | Facility | TC · Technical part | $104.71 | $269.15 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $309.03 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $229.09 Typical High $257.04 | Professional | 26 · Professional part | $218.78 | $229.09 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $125.89 | Professional | TC · Technical part | $93.33 | $104.71 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $549.54 Typical High $47,863.01 | Facility | None | $102.33 | $549.54 | $47,863.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $389.05 Typical High $1,479.11 | Professional | None (both parts) | $338.84 | $389.05 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $295.12 Typical High $1,000.00 | Professional | 26 · Professional part | $269.15 | $295.12 | $1,000.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $467.74 | Professional | TC · Technical part | $95.50 | $104.71 | $467.74 |
Blue Shield Setting Facility Modifier None Typical Low $131.83 Median $436.52 Typical High $707.95 | Facility | None | $131.83 | $436.52 | $707.95 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $245.47 Median $354.81 Typical High $933.25 | Professional | None (both parts) | $245.47 | $354.81 | $933.25 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $288.40 Typical High $724.44 | Professional | 26 · Professional part | $204.17 | $288.40 | $724.44 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $173.78 | Professional | TC · Technical part | $43.65 | $63.10 | $173.78 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $457.09 Typical High $562.34 | Professional | None (both parts) | $251.19 | $457.09 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $457.09 Typical High $5,623.41 | Facility | None | $263.03 | $457.09 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $891.25 | Professional | None (both parts) | $309.03 | $398.11 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $281.84 Typical High $630.96 | Professional | 26 · Professional part | $223.87 | $281.84 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $120.23 Typical High $295.12 | Professional | TC · Technical part | $77.62 | $120.23 | $295.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $134.90 Median $501.19 Typical High $676.08 | Professional | None | $134.90 | $501.19 | $676.08 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $309.03 Typical High $416.87 | Professional | 26 · Professional part | $134.90 | $309.03 | $416.87 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $186.21 Typical High $251.19 | Professional | TC · Technical part | $134.90 | $186.21 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $1,096.48 | Professional | None | $398.11 | $501.19 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $389.05 Typical High $831.76 | Professional | 26 · Professional part | $269.15 | $389.05 | $831.76 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $223.87 Typical High $501.19 | Professional | TC · Technical part | $147.91 | $223.87 | $501.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $3,388.44 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $3,388.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,137.96 Median $2,137.96 Typical High $2,187.76 | Professional | 26 · Professional part | $2,137.96 | $2,137.96 | $2,187.76 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | TC · Technical part | $1,778.28 | $1,778.28 | $1,778.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $120.23 Typical High $380.19 | Professional | None (both parts) | $33.11 | $120.23 | $380.19 |
Providence Setting Facility Modifier None Typical Low $338.84 Median $457.09 Typical High $1,445.44 | Facility | None | $338.84 | $457.09 | $1,445.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $309.03 Median $380.19 Typical High $891.25 | Professional | None (both parts) | $309.03 | $380.19 | $891.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $269.15 Typical High $645.65 | Professional | 26 · Professional part | $223.87 | $269.15 | $645.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $112.20 Typical High $302.00 | Professional | TC · Technical part | $77.62 | $112.20 | $302.00 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,258.93 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 26 · Professional part | $870.96 | $870.96 | $870.96 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $407.38 | $407.38 | $407.38 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $489.78 Typical High $1,380.38 | Professional | None (both parts) | $263.03 | $489.78 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $338.84 Typical High $912.01 | Professional | 26 · Professional part | $194.98 | $338.84 | $912.01 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $154.88 Typical High $489.78 | Professional | TC · Technical part | $70.79 | $154.88 | $489.78 |
8 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 $93.33 Median $181.97 Typical High $323.59 | Facility | 52 · Reduced service | $93.33 | $181.97 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $72.44 Typical High $128.82 | Facility | 53 · Discontinued | $38.02 | $72.44 | $128.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $251.19 Typical High $446.68 | Facility | 78 · Unplanned return to OR | $131.83 | $251.19 | $446.68 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $123.03 Median $269.15 Typical High $512.86 | Facility | FX · Film X-ray | $123.03 | $269.15 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $165.96 Typical High $194.98 | Professional | 52 · Reduced service | $154.88 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $67.61 Typical High $77.62 | Professional | 53 · Discontinued | $61.66 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $234.42 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $218.78 | $234.42 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $269.15 Typical High $295.12 | Professional | FX · Film X-ray | $234.42 | $269.15 | $295.12 |
Where California sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 32nd of 51
$427
AK $1,585AL $269
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.