How much rates vary
Facilitymedian $245 · 10th to 90th $49 to $479Professionalmedian $89 · 10th to 90th $21 to $331
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 $89.13 Median $1,819.70 Typical High $2,754.23 | Facility | None | $89.13 | $1,819.70 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $89.13 Typical High $97.72 | Professional | None | $19.50 | $89.13 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $44.67 Typical High $46,773.51 | Facility | None | $38.90 | $44.67 | $46,773.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $147.91 | Professional | None | $63.10 | $95.50 | $147.91 |
Blue Shield Setting Facility Modifier None Typical Low $54.95 Median $162.18 Typical High $251.19 | Facility | None | $54.95 | $162.18 | $251.19 |
Blue Shield Setting Professional Modifier None Typical Low $54.95 Median $87.10 Typical High $169.82 | Professional | None | $54.95 | $87.10 | $169.82 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $371.54 | Professional | None | $21.38 | $28.84 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $154.88 Typical High $6,165.95 | Facility | None | $134.90 | $154.88 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $83.18 Typical High $120.23 | Professional | None | $16.98 | $83.18 | $120.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $14.13 Median $25.70 Typical High $34.67 | Professional | None | $14.13 | $25.70 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $52.48 | Professional | None | $19.50 | $25.12 | $52.48 |
Lucent Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $33.11 | Professional | None | $16.22 | $19.05 | $33.11 |
Providence Setting Facility Modifier None Typical Low $33.88 Median $114.82 Typical High $190.55 | Facility | None | $33.88 | $114.82 | $190.55 |
Providence Setting Professional Modifier None Typical Low $16.60 Median $81.28 Typical High $117.49 | Professional | None | $16.60 | $81.28 | $117.49 |
Sutter Health Plus Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
United Setting Professional Modifier None Typical Low $16.60 Median $25.70 Typical High $114.82 | Professional | None | $16.60 | $25.70 | $114.82 |
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 $36.31 Median $51.29 Typical High $134.90 | Facility | 52 · Reduced service | $36.31 | $51.29 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $20.42 Typical High $53.70 | Facility | 53 · Discontinued | $14.45 | $20.42 | $53.70 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $46.77 Median $100.00 Typical High $213.80 | Facility | FX · Film X-ray | $46.77 | $100.00 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $43.65 Typical High $47.86 | Professional | 52 · Reduced service | $9.77 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $17.78 Typical High $19.50 | Professional | 53 · Discontinued | $3.89 | $17.78 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.45 Median $70.79 Typical High $77.62 | Professional | FX · Film X-ray | $14.45 | $70.79 | $77.62 |
Where California sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 2nd of 51
$93.33
AL $102PA $18.62
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.