How much rates vary
Facilitymedian $1,175 · 10th to 90th $263 to $2,512Professionalmedian $295 · 10th to 90th $224 to $1,549
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 $257.04 Median $288.40 Typical High $2,238.72 | Facility | None | $257.04 | $288.40 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $537.03 Typical High $1,288.25 | Facility | TC · Technical part | $208.93 | $537.03 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $223.87 | $257.04 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $42.66 | $48.98 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $295.12 | Professional | TC · Technical part | $177.83 | $208.93 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $1,071.52 Typical High $1,096.48 | Facility | None | $54.95 | $1,071.52 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $295.12 Typical High $1,071.52 | Professional | None (both parts) | $257.04 | $295.12 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $204.17 | Professional | 26 · Professional part | $53.70 | $58.88 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $234.42 Typical High $851.14 | Professional | TC · Technical part | $213.80 | $234.42 | $851.14 |
Blue Shield Setting Facility Modifier None Typical Low $363.08 Median $1,513.56 Typical High $2,691.53 | Facility | None | $363.08 | $1,513.56 | $2,691.53 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $741.31 | Professional | None (both parts) | $199.53 | $288.40 | $741.31 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $131.83 | Professional | 26 · Professional part | $38.02 | $54.95 | $131.83 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $616.60 | Professional | TC · Technical part | $162.18 | $234.42 | $616.60 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $407.38 | Professional | None (both parts) | $229.09 | $316.23 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,445.44 Typical High $2,884.03 | Facility | None | $389.05 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $302.00 Typical High $676.08 | Professional | None (both parts) | $204.17 | $302.00 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $56.23 Typical High $131.83 | Professional | 26 · Professional part | $40.74 | $56.23 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $251.19 Typical High $549.54 | Professional | TC · Technical part | $165.96 | $251.19 | $549.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $165.96 Median $281.84 Typical High $338.84 | Professional | None | $165.96 | $281.84 | $338.84 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $51.29 | $61.66 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $229.09 Typical High $275.42 | Professional | TC · Technical part | $134.90 | $229.09 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $645.65 | Professional | None | $213.80 | $275.42 | $645.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $144.54 | Professional | 26 · Professional part | $44.67 | $64.57 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $275.42 Typical High $645.65 | Professional | TC · Technical part | $177.83 | $275.42 | $645.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,778.28 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $524.81 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,258.93 Typical High $1,412.54 | Professional | TC · Technical part | $1,258.93 | $1,258.93 | $1,412.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $53.70 | $165.96 | $239.88 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $831.76 Typical High $2,238.72 | Facility | None | $309.03 | $831.76 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $691.83 | Professional | None (both parts) | $204.17 | $288.40 | $691.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $131.83 | Professional | 26 · Professional part | $40.74 | $53.70 | $131.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $549.54 | Professional | TC · Technical part | $165.96 | $239.88 | $549.54 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | TC · Technical part | $616.60 | $616.60 | $616.60 |
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 $199.53 Median $269.15 Typical High $912.01 | Professional | None (both parts) | $199.53 | $269.15 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $181.97 | Professional | 26 · Professional part | $38.90 | $51.29 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $776.25 | Professional | TC · Technical part | $158.49 | $204.17 | $776.25 |
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 $128.82 Median $269.15 Typical High $645.65 | Facility | 52 · Reduced service | $128.82 | $269.15 | $645.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $51.29 Median $107.15 Typical High $257.04 | Facility | 53 · Discontinued | $51.29 | $107.15 | $257.04 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $204.17 Median $426.58 Typical High $1,023.29 | Facility | FX · Film X-ray | $204.17 | $426.58 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $128.82 Typical High $144.54 | Professional | 52 · Reduced service | $109.65 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $51.29 Typical High $57.54 | Professional | 53 · Discontinued | $43.65 | $51.29 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $204.17 Typical High $229.09 | Professional | FX · Film X-ray | $173.78 | $204.17 | $229.09 |
Where California sits
The same service costs 3.5 times more in Wisconsin 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· 24th of 51
$302
WI $676TX $191
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.