How much rates vary
Facilitymedian $977 · 10th to 90th $209 to $2,754Professionalmedian $251 · 10th to 90th $182 to $1,288
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 $208.93 Median $234.42 Typical High $2,238.72 | Facility | None | $208.93 | $234.42 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $467.74 Typical High $1,122.02 | Facility | TC · Technical part | $186.21 | $467.74 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $173.78 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $24.55 | Professional | 26 · Professional part | $19.95 | $21.88 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $257.04 | Professional | TC · Technical part | $154.88 | $186.21 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $1,000.00 Typical High $1,023.29 | Facility | None | $26.92 | $1,000.00 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $218.78 Typical High $812.83 | Professional | None (both parts) | $190.55 | $218.78 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $104.71 | Professional | 26 · Professional part | $26.30 | $29.51 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $194.98 Typical High $724.44 | Professional | TC · Technical part | $169.82 | $194.98 | $724.44 |
Blue Shield Setting Facility Modifier None Typical Low $281.84 Median $933.25 Typical High $1,584.89 | Facility | None | $281.84 | $933.25 | $1,584.89 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $616.60 | Professional | None (both parts) | $177.83 | $251.19 | $616.60 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $27.54 Typical High $64.57 | Professional | 26 · Professional part | $19.05 | $27.54 | $64.57 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $549.54 | Professional | TC · Technical part | $158.49 | $229.09 | $549.54 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $295.12 | Professional | None (both parts) | $181.97 | $257.04 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,995.26 Typical High $5,623.41 | Facility | None | $407.38 | $1,995.26 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $602.56 | Professional | None (both parts) | $162.18 | $229.09 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $66.07 | Professional | 26 · Professional part | $19.95 | $27.54 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $537.03 | Professional | TC · Technical part | $141.25 | $204.17 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $120.23 Median $263.03 Typical High $316.23 | Professional | None | $120.23 | $263.03 | $316.23 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $26.30 Typical High $31.62 | Professional | 26 · Professional part | $13.18 | $26.30 | $31.62 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $234.42 Typical High $281.84 | Professional | TC · Technical part | $107.15 | $234.42 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $257.04 Typical High $602.56 | Professional | None | $199.53 | $257.04 | $602.56 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $74.13 | Professional | 26 · Professional part | $22.91 | $33.11 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $281.84 Typical High $660.69 | Professional | TC · Technical part | $186.21 | $281.84 | $660.69 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,659.59 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,659.59 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,148.15 Typical High $1,479.11 | Professional | TC · Technical part | $1,148.15 | $1,148.15 | $1,479.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $158.49 Typical High $181.97 | Professional | None (both parts) | $22.91 | $158.49 | $181.97 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $707.95 Typical High $3,801.89 | Facility | None | $208.93 | $707.95 | $3,801.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $602.56 | Professional | None (both parts) | $162.18 | $223.87 | $602.56 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $66.07 | Professional | 26 · Professional part | $19.95 | $26.92 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $537.03 | Professional | TC · Technical part | $138.04 | $199.53 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $707.95 | $707.95 | $707.95 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | TC · Technical part | $616.60 | $616.60 | $616.60 |
United Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,380.38 | Facility | None | $891.25 | $891.25 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $851.14 | Professional | None (both parts) | $144.54 | $213.80 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $93.33 | Professional | 26 · Professional part | $19.05 | $25.70 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $794.33 | Professional | TC · Technical part | $125.89 | $186.21 | $794.33 |
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 $234.42 Typical High $562.34 | Facility | 52 · Reduced service | $102.33 | $234.42 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $93.33 Typical High $223.87 | Facility | 53 · Discontinued | $41.69 | $93.33 | $223.87 |
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 $87.10 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $87.10 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $41.69 Typical High $46.77 | Professional | 53 · Discontinued | $34.67 | $41.69 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $165.96 Typical High $190.55 | Professional | FX · Film X-ray | $141.25 | $165.96 | $190.55 |
Where California sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 26th of 51
$263
AK $776KY $170
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.