How much rates vary
Facilitymedian $363 · 10th to 90th $234 to $1,660Professionalmedian $234 · 10th to 90th $158 to $1,047
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 $204.17 Median $234.42 Typical High $2,238.72 | Facility | None | $204.17 | $234.42 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $478.63 Typical High $1,148.15 | Facility | TC · Technical part | $186.21 | $478.63 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $165.96 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.20 Typical High $19.05 | Professional | 26 · Professional part | $16.22 | $18.20 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $186.21 Typical High $213.80 | Professional | TC · Technical part | $151.36 | $186.21 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $812.83 Typical High $831.76 | Facility | None | $21.38 | $812.83 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $741.31 | Professional | None (both parts) | $186.21 | $208.93 | $741.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $74.13 | Professional | 26 · Professional part | $20.89 | $23.44 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $660.69 | Professional | TC · Technical part | $154.88 | $186.21 | $660.69 |
Blue Shield Setting Facility Modifier None Typical Low $234.42 Median $758.58 Typical High $1,202.26 | Facility | None | $234.42 | $758.58 | $1,202.26 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $602.56 | Professional | None (both parts) | $186.21 | $269.15 | $602.56 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $22.91 Typical High $53.70 | Professional | 26 · Professional part | $16.22 | $22.91 | $53.70 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $549.54 | Professional | TC · Technical part | $169.82 | $245.47 | $549.54 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $194.98 Typical High $239.88 | Professional | None (both parts) | $128.82 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $1,445.44 Typical High $2,884.03 | Facility | None | $331.13 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $512.86 | Professional | None (both parts) | $141.25 | $208.93 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $47.86 | Professional | 26 · Professional part | $16.60 | $21.88 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $478.63 | Professional | TC · Technical part | $123.03 | $190.55 | $478.63 |
Contra Costa Health Setting Professional Modifier None Typical Low $87.10 Median $213.80 Typical High $257.04 | Professional | None | $87.10 | $213.80 | $257.04 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $17.78 Typical High $21.38 | Professional | 26 · Professional part | $7.76 | $17.78 | $21.38 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $194.98 Typical High $234.42 | Professional | TC · Technical part | $79.43 | $194.98 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $489.78 | Professional | None | $162.18 | $208.93 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.88 Typical High $50.12 | Professional | 26 · Professional part | $15.49 | $21.88 | $50.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $234.42 Typical High $549.54 | Professional | TC · Technical part | $151.36 | $234.42 | $549.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,348.96 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $1,202.26 | Professional | TC · Technical part | $954.99 | $954.99 | $1,202.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.05 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $19.05 | $131.83 | $147.91 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $691.83 Typical High $2,238.72 | Facility | None | $204.17 | $691.83 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $141.25 Median $204.17 Typical High $512.86 | Professional | None (both parts) | $141.25 | $204.17 | $512.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.89 Typical High $53.70 | Professional | 26 · Professional part | $16.60 | $20.89 | $53.70 |
Providence Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $478.63 | Professional | TC · Technical part | $123.03 | $186.21 | $478.63 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $524.81 | $524.81 | $524.81 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $676.08 | Professional | None (both parts) | $138.04 | $190.55 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $63.10 | Professional | 26 · Professional part | $14.79 | $19.05 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $645.65 | Professional | TC · Technical part | $123.03 | $169.82 | $645.65 |
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 $102.33 Median $239.88 Typical High $575.44 | Facility | 52 · Reduced service | $102.33 | $239.88 | $575.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $95.50 Typical High $229.09 | Facility | 53 · Discontinued | $40.74 | $95.50 | $229.09 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $165.96 Median $380.19 Typical High $912.01 | Facility | FX · Film X-ray | $165.96 | $380.19 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $85.11 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $40.74 Typical High $46.77 | Professional | 53 · Discontinued | $33.88 | $40.74 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $165.96 Typical High $186.21 | Professional | FX · Film X-ray | $131.83 | $165.96 | $186.21 |
Where California sits
The same service costs 4.5 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· 15th of 51
$251
AK $631FL $141
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.