How much rates vary
Facilitymedian $1,023 · 10th to 90th $224 to $2,630Professionalmedian $257 · 10th to 90th $186 to $1,318
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 $223.87 Median $251.19 Typical High $2,238.72 | Facility | None | $223.87 | $251.19 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $467.74 Typical High $1,122.02 | Facility | TC · Technical part | $186.21 | $467.74 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $251.19 | Professional | None (both parts) | $190.55 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $39.81 | Professional | 26 · Professional part | $33.88 | $38.02 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $186.21 Typical High $213.80 | Professional | TC · Technical part | $151.36 | $186.21 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $954.99 Typical High $977.24 | Facility | None | $45.71 | $954.99 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $933.25 | Professional | None (both parts) | $223.87 | $245.47 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $165.96 | Professional | 26 · Professional part | $43.65 | $50.12 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $758.58 | Professional | TC · Technical part | $173.78 | $199.53 | $758.58 |
Blue Shield Setting Facility Modifier None Typical Low $354.81 Median $1,148.15 Typical High $1,819.70 | Facility | None | $354.81 | $1,148.15 | $1,819.70 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $645.65 | Professional | None (both parts) | $173.78 | $245.47 | $645.65 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $112.20 | Professional | 26 · Professional part | $31.62 | $44.67 | $112.20 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $537.03 | Professional | TC · Technical part | $141.25 | $204.17 | $537.03 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $173.78 | $251.19 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $1,995.26 Typical High $3,801.89 | Facility | None | $346.74 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $575.44 | Professional | None (both parts) | $169.82 | $239.88 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $107.15 | Professional | 26 · Professional part | $32.36 | $45.71 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $478.63 | Professional | TC · Technical part | $138.04 | $199.53 | $478.63 |
Contra Costa Health Setting Professional Modifier None Typical Low $114.82 Median $245.47 Typical High $295.12 | Professional | None | $114.82 | $245.47 | $295.12 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $20.89 | $42.66 | $51.29 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $204.17 Typical High $245.47 | Professional | TC · Technical part | $95.50 | $204.17 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $245.47 Typical High $478.63 | Professional | None | $190.55 | $245.47 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $114.82 | Professional | 26 · Professional part | $37.15 | $52.48 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $549.54 | Professional | TC · Technical part | $158.49 | $245.47 | $549.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,584.89 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,584.89 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $457.09 | $457.09 | $457.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $977.24 Typical High $1,288.25 | Professional | TC · Technical part | $977.24 | $977.24 | $1,288.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $43.65 | $134.90 | $169.82 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $724.44 Typical High $3,019.95 | Facility | None | $245.47 | $724.44 | $3,019.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $169.82 Median $234.42 Typical High $588.84 | Professional | None (both parts) | $169.82 | $234.42 | $588.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $107.15 | Professional | 26 · Professional part | $32.36 | $44.67 | $107.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $194.98 Typical High $478.63 | Professional | TC · Technical part | $138.04 | $194.98 | $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 $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $524.81 | $524.81 | $524.81 |
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 $165.96 Median $223.87 Typical High $794.33 | Professional | None (both parts) | $165.96 | $223.87 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $147.91 | Professional | 26 · Professional part | $32.36 | $42.66 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $676.08 | Professional | TC · Technical part | $134.90 | $177.83 | $676.08 |
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 $112.20 Median $234.42 Typical High $562.34 | Facility | 52 · Reduced service | $112.20 | $234.42 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $93.33 Typical High $223.87 | Facility | 53 · Discontinued | $44.67 | $93.33 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $177.83 Median $371.54 Typical High $891.25 | Facility | FX · Film X-ray | $177.83 | $371.54 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $112.20 Typical High $125.89 | Professional | 52 · Reduced service | $95.50 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $44.67 Typical High $50.12 | Professional | 53 · Discontinued | $38.02 | $44.67 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $177.83 Typical High $199.53 | Professional | FX · Film X-ray | $151.36 | $177.83 | $199.53 |
Where California sits
The same service costs 4.7 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· 19th of 51
$275
AK $741TX $158
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.