How much rates vary
Facilitymedian $1,096 · 10th to 90th $234 to $2,089Professionalmedian $295 · 10th to 90th $219 to $1,698
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 $234.42 Median $269.15 Typical High $2,238.72 | Facility | None | $234.42 | $269.15 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $501.19 Typical High $1,202.26 | Facility | TC · Technical part | $199.53 | $501.19 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $199.53 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $38.90 | Professional | 26 · Professional part | $33.88 | $37.15 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $229.09 | Professional | TC · Technical part | $165.96 | $199.53 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $1,258.93 Typical High $1,288.25 | Facility | None | $44.67 | $1,258.93 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $1,148.15 | Professional | None (both parts) | $223.87 | $263.03 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $173.78 | Professional | 26 · Professional part | $43.65 | $48.98 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $977.24 | Professional | TC · Technical part | $181.97 | $213.80 | $977.24 |
Blue Shield Setting Facility Modifier None Typical Low $302.00 Median $1,096.48 Typical High $1,819.70 | Facility | None | $302.00 | $1,096.48 | $1,819.70 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $707.95 | Professional | None (both parts) | $204.17 | $288.40 | $707.95 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $109.65 | Professional | 26 · Professional part | $33.11 | $46.77 | $109.65 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $239.88 Typical High $602.56 | Professional | TC · Technical part | $169.82 | $239.88 | $602.56 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $169.82 | $275.42 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,445.44 Typical High $2,884.03 | Facility | None | $501.19 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $691.83 | Professional | None (both parts) | $204.17 | $281.84 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $109.65 | Professional | 26 · Professional part | $34.67 | $46.77 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $588.84 | Professional | TC · Technical part | $169.82 | $229.09 | $588.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $112.20 Median $331.13 Typical High $398.11 | Professional | None | $112.20 | $331.13 | $398.11 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $18.20 | $43.65 | $52.48 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $288.40 Typical High $346.74 | Professional | TC · Technical part | $95.50 | $288.40 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $794.33 | Professional | None | $251.19 | $323.59 | $794.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $123.03 | Professional | 26 · Professional part | $38.02 | $54.95 | $123.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $346.74 Typical High $812.83 | Professional | TC · Technical part | $223.87 | $346.74 | $812.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,089.30 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,089.30 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $323.59 | $323.59 | $323.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,445.44 Typical High $1,778.28 | Professional | TC · Technical part | $1,445.44 | $1,445.44 | $1,778.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $46.77 | $199.53 | $239.88 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $758.58 Typical High $2,238.72 | Facility | None | $245.47 | $758.58 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $691.83 | Professional | None (both parts) | $204.17 | $269.15 | $691.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $109.65 | Professional | 26 · Professional part | $34.67 | $44.67 | $109.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $588.84 | Professional | TC · Technical part | $162.18 | $229.09 | $588.84 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $954.99 | $954.99 | $954.99 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $812.83 | $812.83 | $812.83 |
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 $165.96 Median $288.40 Typical High $1,096.48 | Professional | None (both parts) | $165.96 | $288.40 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $154.88 | Professional | 26 · Professional part | $31.62 | $42.66 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $245.47 Typical High $977.24 | Professional | TC · Technical part | $131.83 | $245.47 | $977.24 |
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 $117.49 Median $251.19 Typical High $602.56 | Facility | 52 · Reduced service | $117.49 | $251.19 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $100.00 Typical High $239.88 | Facility | 53 · Discontinued | $46.77 | $100.00 | $239.88 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $190.55 Median $407.38 Typical High $977.24 | Facility | FX · Film X-ray | $190.55 | $407.38 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $100.00 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $46.77 Typical High $53.70 | Professional | 53 · Discontinued | $39.81 | $46.77 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $190.55 Typical High $213.80 | Professional | FX · Film X-ray | $169.82 | $190.55 | $213.80 |
Where California sits
The same service costs 5.0 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
$324
AK $1,000KY $200
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.