How much rates vary
Facilitymedian $1,778 · 10th to 90th $214 to $4,074Professionalmedian $1,622 · 10th to 90th $457 to $5,495
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 $1,778.28 Median $2,187.76 Typical High $5,754.40 | Facility | None | $1,778.28 | $2,187.76 | $5,754.40 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,513.56 Median $3,801.89 Typical High $12,302.69 | Facility | TC · Technical part | $1,513.56 | $3,801.89 | $12,302.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,778.28 Typical High $2,344.23 | Professional | None (both parts) | $1,380.38 | $1,778.28 | $2,344.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $263.03 | Professional | 26 · Professional part | $89.13 | $112.20 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,513.56 Typical High $2,238.72 | Professional | TC · Technical part | $1,258.93 | $1,513.56 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $95.50 | Facility | None | $81.28 | $87.10 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,621.81 Typical High $2,511.89 | Professional | None (both parts) | $891.25 | $1,621.81 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $338.84 | Professional | 26 · Professional part | $79.43 | $91.20 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,513.56 Typical High $1,995.26 | Professional | TC · Technical part | $758.58 | $1,513.56 | $1,995.26 |
Blue Shield Setting Facility Modifier None Typical Low $467.74 Median $1,621.81 Typical High $2,951.21 | Facility | None | $467.74 | $1,621.81 | $2,951.21 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,778.28 Typical High $4,570.88 | Professional | None (both parts) | $1,258.93 | $1,778.28 | $4,570.88 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $229.09 | Professional | 26 · Professional part | $56.23 | $81.28 | $229.09 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,698.24 Typical High $4,365.16 | Professional | TC · Technical part | $1,202.26 | $1,698.24 | $4,365.16 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $1,096.48 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $3,019.95 Typical High $6,918.31 | Facility | None | $724.44 | $3,019.95 | $6,918.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $380.19 Typical High $1,230.27 | Professional | None (both parts) | $234.42 | $380.19 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $79.43 Typical High $199.53 | Professional | 26 · Professional part | $39.81 | $79.43 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $316.23 Typical High $1,000.00 | Professional | TC · Technical part | $190.55 | $316.23 | $1,000.00 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $81.28 | $89.13 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,511.89 | Professional | None | $977.24 | $1,148.15 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $102.33 Typical High $218.78 | Professional | 26 · Professional part | $70.79 | $102.33 | $218.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,495.41 Median $10,232.93 Typical High $10,232.93 | Professional | None (both parts) | $5,495.41 | $10,232.93 | $10,232.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,698.24 Median $3,162.28 Typical High $3,162.28 | Professional | 26 · Professional part | $1,698.24 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,897.79 Median $4,897.79 Typical High $7,585.78 | Professional | TC · Technical part | $4,897.79 | $4,897.79 | $7,585.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $85.11 Median $1,412.54 Typical High $1,698.24 | Professional | None (both parts) | $85.11 | $1,412.54 | $1,698.24 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $2,089.30 Typical High $6,456.54 | Facility | None | $154.88 | $2,089.30 | $6,456.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $229.09 Median $380.19 Typical High $1,202.26 | Professional | None (both parts) | $229.09 | $380.19 | $1,202.26 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $77.62 Typical High $199.53 | Professional | 26 · Professional part | $39.81 | $77.62 | $199.53 |
Providence Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $1,000.00 | Professional | TC · Technical part | $186.21 | $309.03 | $1,000.00 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $245.47 | $245.47 | $245.47 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,235.94 | Facility | None | $2,137.96 | $2,137.96 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,737.80 Typical High $5,888.44 | Professional | None (both parts) | $1,148.15 | $1,737.80 | $5,888.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $316.23 | Professional | 26 · Professional part | $63.10 | $85.11 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,621.81 Typical High $5,623.41 | Professional | TC · Technical part | $1,071.52 | $1,621.81 | $5,623.41 |
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 $891.25 Median $1,905.46 Typical High $6,165.95 | Facility | 52 · Reduced service | $891.25 | $1,905.46 | $6,165.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $354.81 Median $758.58 Typical High $2,454.71 | Facility | 53 · Discontinued | $354.81 | $758.58 | $2,454.71 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $1,412.54 Median $3,548.13 Typical High $9,772.37 | Facility | FX · Film X-ray | $1,412.54 | $3,548.13 | $9,772.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $891.25 Typical High $1,096.48 | Professional | 52 · Reduced service | $645.65 | $891.25 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $354.81 Typical High $436.52 | Professional | 53 · Discontinued | $257.04 | $354.81 | $436.52 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,412.54 Median $1,412.54 Typical High $1,778.28 | Professional | FX · Film X-ray | $1,412.54 | $1,412.54 | $1,778.28 |
Where California sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 16th of 51
$1,660
NE $2,512WA $575
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.