How much rates vary
Facilitymedian $1,349 · 10th to 90th $182 to $3,162Professionalmedian $229 · 10th to 90th $148 to $1,862
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 $177.83 Median $204.17 Typical High $2,238.72 | Facility | None | $177.83 | $204.17 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $389.05 Typical High $933.25 | Facility | TC · Technical part | $151.36 | $389.05 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $204.17 | Professional | None (both parts) | $138.04 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $29.51 | Professional | 26 · Professional part | $24.55 | $28.18 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $173.78 | Professional | TC · Technical part | $114.82 | $151.36 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $660.69 Typical High $676.08 | Facility | None | $33.11 | $660.69 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $213.80 Typical High $660.69 | Professional | None (both parts) | $186.21 | $213.80 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $112.20 | Professional | 26 · Professional part | $31.62 | $36.31 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $177.83 Typical High $562.34 | Professional | TC · Technical part | $154.88 | $177.83 | $562.34 |
Blue Shield Setting Facility Modifier None Typical Low $269.15 Median $1,995.26 Typical High $3,630.78 | Facility | None | $269.15 | $1,995.26 | $3,630.78 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $524.81 | Professional | None (both parts) | $147.91 | $208.93 | $524.81 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $81.28 | Professional | 26 · Professional part | $24.55 | $34.67 | $81.28 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $436.52 | Professional | TC · Technical part | $123.03 | $173.78 | $436.52 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $138.04 | $190.55 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $1,445.44 Typical High $2,884.03 | Facility | None | $239.88 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $501.19 | Professional | None (both parts) | $147.91 | $234.42 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $74.13 | Professional | 26 · Professional part | $25.70 | $33.11 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $199.53 Typical High $416.87 | Professional | TC · Technical part | $123.03 | $199.53 | $416.87 |
Contra Costa Health Setting Professional Modifier None Typical Low $114.82 Median $169.82 Typical High $204.17 | Professional | None | $114.82 | $169.82 | $204.17 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $19.50 | $26.92 | $32.36 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $173.78 | Professional | TC · Technical part | $95.50 | $144.54 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $426.58 | Professional | None | $131.83 | $169.82 | $426.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $75.86 | Professional | 26 · Professional part | $23.44 | $33.88 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $173.78 Typical High $398.11 | Professional | TC · Technical part | $112.20 | $173.78 | $398.11 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $1,862.09 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $457.09 | $457.09 | $457.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | TC · Technical part | $1,698.24 | $1,698.24 | $1,698.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $125.89 Typical High $154.88 | Professional | None (both parts) | $28.18 | $125.89 | $154.88 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $630.96 Typical High $2,238.72 | Facility | None | $208.93 | $630.96 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $138.04 Median $234.42 Typical High $501.19 | Professional | None (both parts) | $138.04 | $234.42 | $501.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $81.28 | Professional | 26 · Professional part | $25.70 | $31.62 | $81.28 |
Providence Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $204.17 Typical High $416.87 | Professional | TC · Technical part | $123.03 | $204.17 | $416.87 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $338.84 | $338.84 | $338.84 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $1,000.00 | Facility | None | $660.69 | $660.69 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $562.34 | Professional | None (both parts) | $109.65 | $169.82 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $97.72 | Professional | 26 · Professional part | $22.39 | $29.51 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $141.25 Typical High $446.68 | Professional | TC · Technical part | $87.10 | $141.25 | $446.68 |
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 $89.13 Median $194.98 Typical High $467.74 | Facility | 52 · Reduced service | $89.13 | $194.98 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $77.62 Typical High $186.21 | Facility | 53 · Discontinued | $36.31 | $77.62 | $186.21 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $144.54 Median $309.03 Typical High $741.31 | Facility | FX · Film X-ray | $144.54 | $309.03 | $741.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $89.13 Typical High $102.33 | Professional | 52 · Reduced service | $69.18 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $36.31 Typical High $40.74 | Professional | 53 · Discontinued | $27.54 | $36.31 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $144.54 Typical High $162.18 | Professional | FX · Film X-ray | $114.82 | $144.54 | $162.18 |
Where California sits
The same service costs 5.2 times more in Alabama 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· 12th of 51
$245
AL $550TX $105
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.