How much rates vary
Facilitymedian $1,288 · 10th to 90th $224 to $2,754Professionalmedian $263 · 10th to 90th $174 to $1,445
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 $213.80 Median $239.88 Typical High $2,238.72 | Facility | None | $213.80 | $239.88 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $416.87 Typical High $1,000.00 | Facility | TC · Technical part | $165.96 | $416.87 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $239.88 | Professional | None (both parts) | $169.82 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $50.12 | Professional | 26 · Professional part | $41.69 | $46.77 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $190.55 | Professional | TC · Technical part | $125.89 | $165.96 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $831.76 Typical High $870.96 | Facility | None | $56.23 | $831.76 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $831.76 | Professional | None (both parts) | $218.78 | $257.04 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $208.93 | Professional | 26 · Professional part | $53.70 | $61.66 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $630.96 | Professional | TC · Technical part | $165.96 | $190.55 | $630.96 |
Blue Shield Setting Facility Modifier None Typical Low $398.11 Median $1,513.56 Typical High $2,570.40 | Facility | None | $398.11 | $1,513.56 | $2,570.40 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $616.60 | Professional | None (both parts) | $151.36 | $218.78 | $616.60 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $138.04 | Professional | 26 · Professional part | $38.02 | $54.95 | $138.04 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $478.63 | Professional | TC · Technical part | $114.82 | $162.18 | $478.63 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $177.83 | $245.47 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $1,995.26 Typical High $3,801.89 | Facility | None | $281.84 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $524.81 | Professional | None (both parts) | $154.88 | $263.03 | $524.81 |
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 $123.03 Median $208.93 Typical High $389.05 | Professional | TC · Technical part | $123.03 | $208.93 | $389.05 |
Contra Costa Health Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $263.03 | Professional | None | $158.49 | $218.78 | $263.03 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $39.81 | $51.29 | $61.66 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $199.53 | Professional | TC · Technical part | $117.49 | $165.96 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $426.58 | Professional | None | $169.82 | $213.80 | $426.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $138.04 | Professional | 26 · Professional part | $44.67 | $64.57 | $138.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $467.74 | Professional | TC · Technical part | $128.82 | $199.53 | $467.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,445.44 | $1,479.11 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $549.54 | $549.54 | $549.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $1,202.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $45.71 | $114.82 | $186.21 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $676.08 Typical High $3,019.95 | Facility | None | $257.04 | $676.08 | $3,019.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $524.81 | Professional | None (both parts) | $154.88 | $263.03 | $524.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $131.83 | Professional | 26 · Professional part | $40.74 | $54.95 | $131.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $208.93 Typical High $389.05 | Professional | TC · Technical part | $114.82 | $208.93 | $389.05 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
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 $436.52 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $436.52 | $436.52 | $436.52 |
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 $154.88 Median $218.78 Typical High $724.44 | Professional | None (both parts) | $154.88 | $218.78 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $181.97 | Professional | 26 · Professional part | $39.81 | $52.48 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $562.34 | Professional | TC · Technical part | $112.20 | $158.49 | $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 $107.15 Median $208.93 Typical High $501.19 | Facility | 52 · Reduced service | $107.15 | $208.93 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $85.11 Typical High $204.17 | Facility | 53 · Discontinued | $42.66 | $85.11 | $204.17 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $169.82 Median $338.84 Typical High $812.83 | Facility | FX · Film X-ray | $169.82 | $338.84 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $107.15 Typical High $120.23 | Professional | 52 · Reduced service | $85.11 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $42.66 Typical High $47.86 | Professional | 53 · Discontinued | $34.67 | $42.66 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $169.82 Typical High $190.55 | Professional | FX · Film X-ray | $144.54 | $169.82 | $190.55 |
Where California sits
The same service costs 4.8 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· 14th of 51
$288
AK $676TX $141
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.