How much rates vary
Facilitymedian $813 · 10th to 90th $200 to $3,388Professionalmedian $447 · 10th to 90th $309 to $3,162
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 $354.81 Median $2,238.72 Typical High $20,892.96 | Facility | None | $354.81 | $2,238.72 | $20,892.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $467.74 Typical High $1,122.02 | Facility | TC · Technical part | $181.97 | $467.74 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $436.52 | Professional | None (both parts) | $323.59 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $177.83 Typical High $199.53 | Professional | 26 · Professional part | $165.96 | $177.83 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $181.97 Typical High $229.09 | Professional | TC · Technical part | $162.18 | $181.97 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $977.24 Typical High $47,863.01 | Facility | None | $177.83 | $977.24 | $47,863.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $389.05 Typical High $1,548.82 | Professional | None (both parts) | $331.13 | $389.05 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $234.42 Typical High $776.25 | Professional | 26 · Professional part | $204.17 | $234.42 | $776.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $794.33 | Professional | TC · Technical part | $165.96 | $190.55 | $794.33 |
Blue Shield Setting Facility Modifier None Typical Low $245.47 Median $831.76 Typical High $1,412.54 | Facility | None | $245.47 | $831.76 | $1,412.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $891.25 | Professional | None (both parts) | $239.88 | $346.74 | $891.25 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $204.17 Typical High $467.74 | Professional | 26 · Professional part | $125.89 | $204.17 | $467.74 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $151.36 Typical High $398.11 | Professional | TC · Technical part | $95.50 | $151.36 | $398.11 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $616.60 Typical High $933.25 | Professional | None (both parts) | $467.74 | $616.60 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $776.25 Typical High $5,623.41 | Facility | None | $436.52 | $776.25 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $912.01 | Professional | None (both parts) | $331.13 | $416.87 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $213.80 Typical High $489.78 | Professional | 26 · Professional part | $169.82 | $213.80 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $501.19 | Professional | TC · Technical part | $141.25 | $204.17 | $501.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $323.59 Median $549.54 Typical High $741.31 | Professional | None | $323.59 | $549.54 | $741.31 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $239.88 Typical High $323.59 | Professional | 26 · Professional part | $158.49 | $239.88 | $323.59 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $309.03 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $1,230.27 | Professional | None | $436.52 | $549.54 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $302.00 Typical High $676.08 | Professional | 26 · Professional part | $208.93 | $302.00 | $676.08 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $870.96 | Professional | TC · Technical part | $263.03 | $380.19 | $870.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,630.78 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,630.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,584.89 Median $1,584.89 Typical High $1,698.24 | Professional | 26 · Professional part | $1,584.89 | $1,584.89 | $1,698.24 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,348.96 Typical High $1,949.84 | Professional | TC · Technical part | $1,348.96 | $1,348.96 | $1,949.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $199.53 Typical High $398.11 | Professional | None (both parts) | $33.11 | $199.53 | $398.11 |
Providence Setting Facility Modifier None Typical Low $380.19 Median $562.34 Typical High $2,041.74 | Facility | None | $380.19 | $562.34 | $2,041.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $331.13 Median $407.38 Typical High $954.99 | Professional | None (both parts) | $331.13 | $407.38 | $954.99 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $208.93 Typical High $489.78 | Professional | 26 · Professional part | $169.82 | $208.93 | $489.78 |
Providence Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $194.98 Typical High $524.81 | Professional | TC · Technical part | $138.04 | $194.98 | $524.81 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 26 · Professional part | $660.69 | $660.69 | $660.69 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $676.08 | $676.08 | $676.08 |
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 (both parts) Typical Low $275.42 Median $512.86 Typical High $1,479.11 | Professional | None (both parts) | $275.42 | $512.86 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $263.03 Typical High $691.83 | Professional | 26 · Professional part | $147.91 | $263.03 | $691.83 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $257.04 Typical High $812.83 | Professional | TC · Technical part | $123.03 | $257.04 | $812.83 |
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 $154.88 Median $229.09 Typical High $549.54 | Facility | 52 · Reduced service | $154.88 | $229.09 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $93.33 Typical High $223.87 | Facility | 53 · Discontinued | $61.66 | $93.33 | $223.87 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $323.59 Typical High $776.25 | Facility | 78 · Unplanned return to OR | $218.78 | $323.59 | $776.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $213.80 Median $371.54 Typical High $891.25 | Facility | FX · Film X-ray | $213.80 | $371.54 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $177.83 Typical High $204.17 | Professional | 52 · Reduced service | $162.18 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $72.44 Typical High $83.18 | Professional | 53 · Discontinued | $66.07 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $251.19 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $229.09 | $251.19 | $288.40 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $288.40 Typical High $316.23 | Professional | FX · Film X-ray | $263.03 | $288.40 | $316.23 |
Where California sits
The same service costs 5.6 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· 35th of 51
$457
AK $1,698FL $302
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.