How much rates vary
Facilitymedian $871 · 10th to 90th $195 to $2,754Professionalmedian $234 · 10th to 90th $166 to $1,096
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 $199.53 Median $223.87 Typical High $2,238.72 | Facility | None | $199.53 | $223.87 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $416.87 Typical High $1,000.00 | Facility | TC · Technical part | $162.18 | $416.87 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $223.87 | Professional | None (both parts) | $162.18 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $36.31 | Professional | 26 · Professional part | $31.62 | $34.67 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $186.21 | Professional | TC · Technical part | $138.04 | $162.18 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $870.96 Typical High $891.25 | Facility | None | $41.69 | $870.96 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $776.25 | Professional | None (both parts) | $177.83 | $208.93 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $158.49 | Professional | 26 · Professional part | $40.74 | $45.71 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $630.96 | Professional | TC · Technical part | $141.25 | $165.96 | $630.96 |
Blue Shield Setting Facility Modifier None Typical Low $234.42 Median $851.14 Typical High $1,445.44 | Facility | None | $234.42 | $851.14 | $1,445.44 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $575.44 | Professional | None (both parts) | $165.96 | $234.42 | $575.44 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $102.33 | Professional | 26 · Professional part | $30.20 | $43.65 | $102.33 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $478.63 | Professional | TC · Technical part | $134.90 | $190.55 | $478.63 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $186.21 Typical High $251.19 | Professional | None (both parts) | $104.71 | $186.21 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $1,995.26 Typical High $5,623.41 | Facility | None | $288.40 | $1,995.26 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $154.88 | $213.80 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $100.00 | Professional | 26 · Professional part | $31.62 | $42.66 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $407.38 | Professional | TC · Technical part | $123.03 | $173.78 | $407.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $69.18 Median $223.87 Typical High $269.15 | Professional | None | $69.18 | $223.87 | $269.15 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $13.18 | $40.74 | $48.98 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $186.21 Typical High $223.87 | Professional | TC · Technical part | $56.23 | $186.21 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $524.81 | Professional | None | $173.78 | $223.87 | $524.81 |
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 $144.54 Median $223.87 Typical High $512.86 | Professional | TC · Technical part | $144.54 | $223.87 | $512.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,445.44 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,148.15 | Professional | TC · Technical part | $870.96 | $870.96 | $1,148.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $112.20 Typical High $147.91 | Professional | None (both parts) | $36.31 | $112.20 | $147.91 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $616.60 Typical High $3,801.89 | Facility | None | $199.53 | $616.60 | $3,801.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $154.88 Median $204.17 Typical High $512.86 | Professional | None (both parts) | $154.88 | $204.17 | $512.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $100.00 | Professional | 26 · Professional part | $31.62 | $41.69 | $100.00 |
Providence Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $416.87 | Professional | TC · Technical part | $123.03 | $165.96 | $416.87 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $478.63 | $478.63 | $478.63 |
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 $138.04 Median $199.53 Typical High $676.08 | Professional | None (both parts) | $138.04 | $199.53 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $138.04 | Professional | 26 · Professional part | $29.51 | $39.81 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $154.88 Typical High $562.34 | Professional | TC · Technical part | $109.65 | $154.88 | $562.34 |
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 $97.72 Median $208.93 Typical High $501.19 | Facility | 52 · Reduced service | $97.72 | $208.93 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $83.18 Typical High $199.53 | Facility | 53 · Discontinued | $39.81 | $83.18 | $199.53 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $158.49 Median $331.13 Typical High $794.33 | Facility | FX · Film X-ray | $158.49 | $331.13 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $97.72 Typical High $112.20 | Professional | 52 · Reduced service | $83.18 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $39.81 Typical High $44.67 | Professional | 53 · Discontinued | $33.88 | $39.81 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $158.49 Typical High $177.83 | Professional | FX · Film X-ray | $134.90 | $158.49 | $177.83 |
Where California sits
The same service costs 4.8 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· 19th of 51
$240
AL $661TX $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.