How much rates vary
Facilitymedian $1,000 · 10th to 90th $200 to $2,138Professionalmedian $251 · 10th to 90th $178 to $1,479
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 $158.49 Median $407.38 Typical High $977.24 | Facility | TC · Technical part | $158.49 | $407.38 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $223.87 | Professional | None (both parts) | $169.82 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $40.74 | Professional | 26 · Professional part | $35.48 | $38.90 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $181.97 | Professional | TC · Technical part | $134.90 | $158.49 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $954.99 Typical High $1,000.00 | Facility | None | $48.98 | $954.99 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $933.25 | Professional | None (both parts) | $204.17 | $234.42 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $190.55 | Professional | 26 · Professional part | $47.86 | $53.70 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $181.97 Typical High $741.31 | Professional | TC · Technical part | $162.18 | $181.97 | $741.31 |
Blue Shield Setting Facility Modifier None Typical Low $251.19 Median $1,174.90 Typical High $1,995.26 | Facility | None | $251.19 | $1,174.90 | $1,995.26 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $588.84 | Professional | None (both parts) | $144.54 | $208.93 | $588.84 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $114.82 | Professional | 26 · Professional part | $30.20 | $42.66 | $114.82 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $478.63 | Professional | TC · Technical part | $114.82 | $165.96 | $478.63 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $229.09 Typical High $281.84 | Professional | None (both parts) | $141.25 | $229.09 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $1,445.44 Typical High $2,884.03 | Facility | None | $354.81 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $245.47 Typical High $588.84 | Professional | None (both parts) | $181.97 | $245.47 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $120.23 | Professional | 26 · Professional part | $38.02 | $51.29 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $194.98 Typical High $467.74 | Professional | TC · Technical part | $144.54 | $194.98 | $467.74 |
Contra Costa Health Setting Professional Modifier None Typical Low $93.33 Median $251.19 Typical High $302.00 | Professional | None | $93.33 | $251.19 | $302.00 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $19.05 | $47.86 | $57.54 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $204.17 Typical High $239.88 | Professional | TC · Technical part | $75.86 | $204.17 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $245.47 Typical High $630.96 | Professional | None | $194.98 | $245.47 | $630.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $134.90 | Professional | 26 · Professional part | $41.69 | $60.26 | $134.90 |
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 $1,479.11 Median $1,479.11 Typical High $1,621.81 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $1,621.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,258.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $141.25 Typical High $181.97 | Professional | None (both parts) | $42.66 | $141.25 | $181.97 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $630.96 Typical High $2,238.72 | Facility | None | $251.19 | $630.96 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $181.97 Median $229.09 Typical High $588.84 | Professional | None (both parts) | $181.97 | $229.09 | $588.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $120.23 | Professional | 26 · Professional part | $38.02 | $48.98 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $489.78 | Professional | TC · Technical part | $144.54 | $186.21 | $489.78 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $691.83 | $691.83 | $691.83 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $549.54 | $549.54 | $549.54 |
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 $154.88 Median $229.09 Typical High $831.76 | Professional | None (both parts) | $154.88 | $229.09 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $169.82 | Professional | 26 · Professional part | $34.67 | $46.77 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $707.95 | Professional | TC · Technical part | $123.03 | $173.78 | $707.95 |
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 $100.00 Median $204.17 Typical High $489.78 | Facility | 52 · Reduced service | $100.00 | $204.17 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $81.28 Typical High $213.80 | Facility | 53 · Discontinued | $39.81 | $81.28 | $213.80 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $158.49 Median $323.59 Typical High $776.25 | Facility | FX · Film X-ray | $158.49 | $323.59 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $100.00 Typical High $112.20 | Professional | 52 · Reduced service | $85.11 | $100.00 | $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 $138.04 Median $158.49 Typical High $177.83 | Professional | FX · Film X-ray | $138.04 | $158.49 | $177.83 |
Where California sits
The same service costs 5.0 times more in Alaska 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· 22nd of 51
$269
AK $776TX $155
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.