How much rates vary
Facilitymedian $1,148 · 10th to 90th $282 to $2,188Professionalmedian $363 · 10th to 90th $257 to $2,042
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 $251.19 Median $323.59 Typical High $2,238.72 | Facility | None | $251.19 | $323.59 | $2,238.72 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $57.54 | Facility | 26 · Professional part | $33.11 | $37.15 | $57.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $562.34 Typical High $1,479.11 | Facility | TC · Technical part | $245.47 | $562.34 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $309.03 Typical High $549.54 | Professional | None (both parts) | $251.19 | $309.03 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $33.11 | $38.02 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $275.42 Typical High $501.19 | Professional | TC · Technical part | $218.78 | $275.42 | $501.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $562.34 | Professional | None (both parts) | $251.19 | $331.13 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $1,513.56 Typical High $1,548.82 | Facility | None | $42.66 | $1,513.56 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $1,348.96 | Professional | None (both parts) | $257.04 | $309.03 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $162.18 | Professional | 26 · Professional part | $41.69 | $46.77 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $263.03 Typical High $1,202.26 | Professional | TC · Technical part | $223.87 | $263.03 | $1,202.26 |
Blue Shield Setting Facility Modifier None Typical Low $309.03 Median $1,202.26 Typical High $2,041.74 | Facility | None | $309.03 | $1,202.26 | $2,041.74 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $295.12 Median $416.87 Typical High $891.25 | Professional | None (both parts) | $295.12 | $416.87 | $891.25 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $102.33 | Professional | 26 · Professional part | $29.51 | $41.69 | $102.33 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $758.58 | Professional | TC · Technical part | $263.03 | $380.19 | $758.58 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $331.13 Typical High $446.68 | Professional | None (both parts) | $218.78 | $331.13 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,479.11 Typical High $2,884.03 | Facility | None | $616.60 | $1,479.11 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $891.25 | Professional | None (both parts) | $245.47 | $331.13 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $104.71 | Professional | 26 · Professional part | $33.11 | $43.65 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $295.12 Typical High $794.33 | Professional | TC · Technical part | $208.93 | $295.12 | $794.33 |
Contra Costa Health Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $478.63 | Professional | None | $295.12 | $398.11 | $478.63 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $29.51 | $40.74 | $48.98 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $354.81 Typical High $426.58 | Professional | TC · Technical part | $269.15 | $354.81 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $831.76 | Professional | None | $302.00 | $389.05 | $831.76 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $51.29 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $426.58 Typical High $1,000.00 | Professional | TC · Technical part | $275.42 | $426.58 | $1,000.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,511.89 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,511.89 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $295.12 | Professional | 26 · Professional part | $275.42 | $275.42 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,778.28 Median $1,778.28 Typical High $2,238.72 | Professional | TC · Technical part | $1,778.28 | $1,778.28 | $2,238.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $43.65 | $251.19 | $338.84 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $977.24 Typical High $2,238.72 | Facility | None | $281.84 | $977.24 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $234.42 Median $323.59 Typical High $891.25 | Professional | None (both parts) | $234.42 | $323.59 | $891.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $104.71 | Professional | 26 · Professional part | $33.11 | $42.66 | $104.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $275.42 Typical High $794.33 | Professional | TC · Technical part | $194.98 | $275.42 | $794.33 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,148.15 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,000.00 |
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 $199.53 Median $346.74 Typical High $1,318.26 | Professional | None (both parts) | $199.53 | $346.74 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $147.91 | Professional | 26 · Professional part | $30.20 | $40.74 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $302.00 Typical High $1,230.27 | Professional | TC · Technical part | $169.82 | $302.00 | $1,230.27 |
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 $141.25 Median $316.23 Typical High $758.58 | Facility | 52 · Reduced service | $141.25 | $316.23 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $125.89 Typical High $302.00 | Facility | 53 · Discontinued | $56.23 | $125.89 | $302.00 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $223.87 Median $501.19 Typical High $1,202.26 | Facility | FX · Film X-ray | $223.87 | $501.19 | $1,202.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $141.25 Typical High $162.18 | Professional | 52 · Reduced service | $120.23 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $47.86 | $56.23 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $223.87 Typical High $257.04 | Professional | FX · Film X-ray | $199.53 | $223.87 | $257.04 |
Where California sits
The same service costs 3.5 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· 25th of 51
$380
AK $933KY $263
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.