How much rates vary
Facilitymedian $661 · 10th to 90th $174 to $2,042Professionalmedian $209 · 10th to 90th $155 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 $173.78 Median $199.53 Typical High $2,238.72 | Facility | None | $173.78 | $199.53 | $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 $147.91 Median $173.78 Typical High $199.53 | Professional | None (both parts) | $147.91 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $22.91 | Professional | 26 · Professional part | $19.50 | $21.38 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $173.78 | Professional | TC · Technical part | $128.82 | $151.36 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $870.96 Typical High $891.25 | Facility | None | $26.30 | $870.96 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $186.21 Typical High $758.58 | Professional | None (both parts) | $162.18 | $186.21 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $102.33 | Professional | 26 · Professional part | $25.70 | $28.84 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $154.88 Typical High $676.08 | Professional | TC · Technical part | $138.04 | $154.88 | $676.08 |
Blue Shield Setting Facility Modifier None Typical Low $186.21 Median $588.84 Typical High $1,000.00 | Facility | None | $186.21 | $588.84 | $1,000.00 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $524.81 | Professional | None (both parts) | $154.88 | $218.78 | $524.81 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.30 Typical High $64.57 | Professional | 26 · Professional part | $18.62 | $26.30 | $64.57 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $467.74 | Professional | TC · Technical part | $134.90 | $194.98 | $467.74 |
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 $371.54 Median $1,445.44 Typical High $2,884.03 | Facility | None | $371.54 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $524.81 | Professional | None (both parts) | $138.04 | $190.55 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $27.54 Typical High $66.07 | Professional | 26 · Professional part | $20.42 | $27.54 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $467.74 | Professional | TC · Technical part | $109.65 | $177.83 | $467.74 |
Contra Costa Health Setting Professional Modifier None Typical Low $120.23 Median $229.09 Typical High $275.42 | Professional | None | $120.23 | $229.09 | $275.42 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $25.70 Typical High $30.90 | Professional | 26 · Professional part | $14.45 | $25.70 | $30.90 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $204.17 Typical High $239.88 | Professional | TC · Technical part | $107.15 | $204.17 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $512.86 | Professional | None | $173.78 | $223.87 | $512.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $72.44 | Professional | 26 · Professional part | $22.39 | $32.36 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $239.88 Typical High $562.34 | Professional | TC · Technical part | $158.49 | $239.88 | $562.34 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,445.44 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $398.11 | $398.11 | $398.11 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $1,258.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.99 Median $158.49 Typical High $181.97 | Professional | None (both parts) | $23.99 | $158.49 | $181.97 |
Providence Setting Facility Modifier None Typical Low $173.78 Median $575.44 Typical High $2,238.72 | Facility | None | $173.78 | $575.44 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $512.86 | Professional | None (both parts) | $125.89 | $181.97 | $512.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $66.07 | Professional | 26 · Professional part | $20.42 | $26.92 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $158.49 Typical High $478.63 | Professional | TC · Technical part | $100.00 | $158.49 | $478.63 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $588.84 | $588.84 | $588.84 |
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 $120.23 Median $204.17 Typical High $831.76 | Professional | None (both parts) | $120.23 | $204.17 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.70 Typical High $95.50 | Professional | 26 · Professional part | $18.62 | $25.70 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $177.83 Typical High $758.58 | Professional | TC · Technical part | $102.33 | $177.83 | $758.58 |
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 $87.10 Median $194.98 Typical High $467.74 | Facility | 52 · Reduced service | $87.10 | $194.98 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $77.62 Typical High $186.21 | Facility | 53 · Discontinued | $34.67 | $77.62 | $186.21 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $138.04 Median $309.03 Typical High $741.31 | Facility | FX · Film X-ray | $138.04 | $309.03 | $741.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $87.10 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $34.67 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $34.67 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $138.04 Typical High $158.49 | Professional | FX · Film X-ray | $123.03 | $138.04 | $158.49 |
Where California sits
The same service costs 5.5 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· 28th of 51
$224
AK $759KY $138
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.