How much rates vary
Facilitymedian $2,239 · 10th to 90th $537 to $4,266Professionalmedian $1,047 · 10th to 90th $741 to $6,310
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 $812.83 Median $2,238.72 Typical High $20,892.96 | Facility | None | $812.83 | $2,238.72 | $20,892.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $724.44 Typical High $1,737.80 | Facility | TC · Technical part | $281.84 | $724.44 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $870.96 Typical High $1,698.24 | Professional | None (both parts) | $741.31 | $870.96 | $1,698.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $537.03 Typical High $758.58 | Professional | 26 · Professional part | $489.78 | $537.03 | $758.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $323.59 Typical High $707.95 | Professional | TC · Technical part | $251.19 | $323.59 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $1,513.56 Typical High $47,863.01 | Facility | None | $281.84 | $1,513.56 | $47,863.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $870.96 Median $977.24 Typical High $3,467.37 | Professional | None (both parts) | $870.96 | $977.24 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $676.08 Typical High $1,949.84 | Professional | 26 · Professional part | $588.84 | $676.08 | $1,949.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $295.12 Typical High $1,659.59 | Professional | TC · Technical part | $257.04 | $295.12 | $1,659.59 |
Blue Shield Setting Facility Modifier None Typical Low $501.19 Median $1,698.24 Typical High $2,691.53 | Facility | None | $501.19 | $1,698.24 | $2,691.53 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $630.96 Median $891.25 Typical High $2,344.23 | Professional | None (both parts) | $630.96 | $891.25 | $2,344.23 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $660.69 Typical High $1,548.82 | Professional | 26 · Professional part | $457.09 | $660.69 | $1,548.82 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $239.88 Typical High $676.08 | Professional | TC · Technical part | $169.82 | $239.88 | $676.08 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,348.96 Typical High $2,630.27 | Professional | None (both parts) | $1,023.29 | $1,348.96 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,230.27 Typical High $5,623.41 | Facility | None | $912.01 | $1,230.27 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $912.01 Typical High $1,949.84 | Professional | None (both parts) | $724.44 | $912.01 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $575.44 Typical High $1,122.02 | Professional | 26 · Professional part | $478.63 | $575.44 | $1,122.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $354.81 Typical High $933.25 | Professional | TC · Technical part | $251.19 | $354.81 | $933.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $741.31 Median $1,202.26 Typical High $1,621.81 | Professional | None | $741.31 | $1,202.26 | $1,621.81 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $549.54 Typical High $741.31 | Professional | 26 · Professional part | $389.05 | $549.54 | $741.31 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $660.69 Typical High $891.25 | Professional | TC · Technical part | $346.74 | $660.69 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $2,344.23 | Professional | None | $933.25 | $1,202.26 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $676.08 Typical High $1,513.56 | Professional | 26 · Professional part | $478.63 | $676.08 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $794.33 Typical High $1,862.09 | Professional | TC · Technical part | $562.34 | $794.33 | $1,862.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,309.57 Median $6,309.57 Typical High $7,943.28 | Professional | None (both parts) | $6,309.57 | $6,309.57 | $7,943.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | 26 · Professional part | $5,011.87 | $5,011.87 | $5,011.87 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | TC · Technical part | $4,168.69 | $4,168.69 | $4,168.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $416.87 Typical High $870.96 | Professional | None (both parts) | $33.11 | $416.87 | $870.96 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $1,148.15 Typical High $2,570.40 | Facility | None | $851.14 | $1,148.15 | $2,570.40 |
Providence Setting Professional Modifier None (both parts) Typical Low $724.44 Median $912.01 Typical High $1,949.84 | Professional | None (both parts) | $724.44 | $912.01 | $1,949.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $575.44 Typical High $1,202.26 | Professional | 26 · Professional part | $478.63 | $575.44 | $1,202.26 |
Providence Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $346.74 Typical High $933.25 | Professional | TC · Technical part | $251.19 | $346.74 | $933.25 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $2,884.03 | $2,884.03 | $2,884.03 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 26 · Professional part | $1,513.56 | $1,513.56 | $1,513.56 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | TC · Technical part | $1,348.96 | $1,348.96 | $1,348.96 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,096.48 Typical High $3,162.28 | Professional | None (both parts) | $630.96 | $1,096.48 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $588.84 Typical High $1,584.89 | Professional | 26 · Professional part | $436.52 | $588.84 | $1,584.89 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $512.86 Typical High $1,698.24 | Professional | TC · Technical part | $194.98 | $512.86 | $1,698.24 |
9 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 $251.19 Median $436.52 Typical High $870.96 | Facility | 52 · Reduced service | $251.19 | $436.52 | $870.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $173.78 Typical High $346.74 | Facility | 53 · Discontinued | $102.33 | $173.78 | $346.74 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $616.60 Typical High $1,202.26 | Facility | 78 · Unplanned return to OR | $354.81 | $616.60 | $1,202.26 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $331.13 Median $691.83 Typical High $1,380.38 | Facility | FX · Film X-ray | $331.13 | $691.83 | $1,380.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $398.11 Typical High $446.68 | Professional | 52 · Reduced service | $354.81 | $398.11 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $162.18 Typical High $177.83 | Professional | 53 · Discontinued | $141.25 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $562.34 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $489.78 | $562.34 | $630.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $562.34 Median $645.65 Typical High $691.83 | Professional | FX · Film X-ray | $562.34 | $645.65 | $691.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $134.90 Typical High $309.03 | Professional | 80 · Assistant surgeon | $109.65 | $134.90 | $309.03 |
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· 32nd of 51
$1,047
AK $3,715FL $661
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.