How much rates vary
Facilitymedian $1,072 · 10th to 90th $240 to $3,388Professionalmedian $631 · 10th to 90th $447 to $3,388
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 $478.63 Median $2,238.72 Typical High $20,892.96 | Facility | None | $478.63 | $2,238.72 | $20,892.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $537.03 Typical High $1,288.25 | Facility | TC · Technical part | $213.80 | $537.03 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $478.63 Typical High $575.44 | Professional | None (both parts) | $436.52 | $478.63 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $263.03 Typical High $302.00 | Professional | 26 · Professional part | $251.19 | $263.03 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $263.03 | Professional | TC · Technical part | $186.21 | $213.80 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $1,148.15 Typical High $47,863.01 | Facility | None | $208.93 | $1,148.15 | $47,863.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $501.19 Median $575.44 Typical High $2,041.74 | Professional | None (both parts) | $501.19 | $575.44 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $354.81 Typical High $1,148.15 | Professional | 26 · Professional part | $309.03 | $354.81 | $1,148.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $912.01 | Professional | TC · Technical part | $190.55 | $223.87 | $912.01 |
Blue Shield Setting Facility Modifier None Typical Low $354.81 Median $1,148.15 Typical High $1,862.09 | Facility | None | $354.81 | $1,148.15 | $1,862.09 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $354.81 Median $501.19 Typical High $1,318.26 | Professional | None (both parts) | $354.81 | $501.19 | $1,318.26 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $338.84 Typical High $831.76 | Professional | 26 · Professional part | $234.42 | $338.84 | $831.76 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $169.82 Typical High $457.09 | Professional | TC · Technical part | $117.49 | $169.82 | $457.09 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $812.83 Typical High $1,122.02 | Professional | None (both parts) | $616.60 | $812.83 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $912.01 Typical High $5,623.41 | Facility | None | $501.19 | $912.01 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $575.44 Typical High $1,288.25 | Professional | None (both parts) | $446.68 | $575.44 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $323.59 Typical High $741.31 | Professional | 26 · Professional part | $263.03 | $323.59 | $741.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $575.44 | Professional | TC · Technical part | $190.55 | $239.88 | $575.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $426.58 Median $724.44 Typical High $977.24 | Professional | None | $426.58 | $724.44 | $977.24 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $363.08 Typical High $489.78 | Professional | 26 · Professional part | $234.42 | $363.08 | $489.78 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $354.81 Typical High $478.63 | Professional | TC · Technical part | $190.55 | $354.81 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,621.81 | Professional | None | $562.34 | $724.44 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $446.68 Typical High $1,000.00 | Professional | 26 · Professional part | $309.03 | $446.68 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $436.52 Typical High $1,000.00 | Professional | TC · Technical part | $302.00 | $436.52 | $1,000.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $4,786.30 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $4,786.30 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,344.23 Median $2,344.23 Typical High $2,511.89 | Professional | 26 · Professional part | $2,344.23 | $2,344.23 | $2,511.89 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $2,238.72 | Professional | TC · Technical part | $1,949.84 | $1,949.84 | $2,238.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $229.09 Typical High $524.81 | Professional | None (both parts) | $33.11 | $229.09 | $524.81 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $2,041.74 | Facility | None | $501.19 | $741.31 | $2,041.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $446.68 Median $549.54 Typical High $1,288.25 | Professional | None (both parts) | $446.68 | $549.54 | $1,288.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $316.23 Typical High $741.31 | Professional | 26 · Professional part | $263.03 | $316.23 | $741.31 |
Providence Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $239.88 Typical High $602.56 | Professional | TC · Technical part | $181.97 | $239.88 | $602.56 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,778.28 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 26 · Professional part | $1,000.00 | $1,000.00 | $1,000.00 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $776.25 | $776.25 | $776.25 |
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 $371.54 Median $676.08 Typical High $1,949.84 | Professional | None (both parts) | $371.54 | $676.08 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $389.05 Typical High $1,047.13 | Professional | 26 · Professional part | $223.87 | $389.05 | $1,047.13 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $295.12 Typical High $933.25 | Professional | TC · Technical part | $144.54 | $295.12 | $933.25 |
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 $190.55 Median $269.15 Typical High $645.65 | Facility | 52 · Reduced service | $190.55 | $269.15 | $645.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $107.15 Typical High $288.40 | Facility | 53 · Discontinued | $75.86 | $107.15 | $288.40 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $380.19 Typical High $912.01 | Facility | 78 · Unplanned return to OR | $269.15 | $380.19 | $912.01 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $251.19 Median $436.52 Typical High $1,047.13 | Facility | FX · Film X-ray | $251.19 | $436.52 | $1,047.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $239.88 Typical High $269.15 | Professional | 52 · Reduced service | $218.78 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $95.50 Typical High $107.15 | Professional | 53 · Discontinued | $87.10 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $331.13 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $309.03 | $331.13 | $380.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $346.74 Median $380.19 Typical High $416.87 | Professional | FX · Film X-ray | $346.74 | $380.19 | $416.87 |
Where California sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 29th of 51
$646
AK $2,239TX $398
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.