How much rates vary
Facilitymedian $4,898 · 10th to 90th $525 to $15,849Professionalmedian $1,698 · 10th to 90th $617 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 $5,888.44 | Facility | None | $1,778.28 | $2,187.76 | $5,888.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,778.28 Median $3,801.89 Typical High $12,022.64 | Facility | TC · Technical part | $1,778.28 | $3,801.89 | $12,022.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,949.84 Typical High $2,511.89 | Professional | None (both parts) | $1,778.28 | $1,949.84 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $288.40 | Professional | 26 · Professional part | $75.86 | $107.15 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,659.59 Typical High $2,398.83 | Professional | TC · Technical part | $1,513.56 | $1,659.59 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $93.33 | Facility | None | $79.43 | $85.11 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,202.26 Typical High $1,995.26 | Professional | None (both parts) | $1,000.00 | $1,202.26 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $323.59 | Professional | 26 · Professional part | $77.62 | $89.13 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,122.02 Typical High $1,862.09 | Professional | TC · Technical part | $831.76 | $1,122.02 | $1,862.09 |
Blue Shield Setting Facility Modifier None Typical Low $1,584.89 Median $10,232.93 Typical High $18,197.01 | Facility | None | $1,584.89 | $10,232.93 | $18,197.01 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,862.09 Typical High $4,786.30 | Professional | None (both parts) | $1,318.26 | $1,862.09 | $4,786.30 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $218.78 | Professional | 26 · Professional part | $57.54 | $81.28 | $218.78 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,819.70 Typical High $4,570.88 | Professional | TC · Technical part | $1,258.93 | $1,819.70 | $4,570.88 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $1,778.28 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $3,388.44 Typical High $7,762.47 | Facility | None | $1,023.29 | $3,388.44 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $537.03 Typical High $1,737.80 | Professional | None (both parts) | $316.23 | $537.03 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $77.62 Typical High $194.98 | Professional | 26 · Professional part | $38.90 | $77.62 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $478.63 Typical High $1,513.56 | Professional | TC · Technical part | $269.15 | $478.63 | $1,513.56 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $75.86 | $85.11 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $1,819.70 Typical High $3,981.07 | Professional | None | $1,513.56 | $1,819.70 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $213.80 | Professional | 26 · Professional part | $67.61 | $95.50 | $213.80 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,495.41 Median $9,549.93 Typical High $9,549.93 | Professional | None (both parts) | $5,495.41 | $9,549.93 | $9,549.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,137.96 Median $3,235.94 Typical High $3,235.94 | Professional | 26 · Professional part | $2,137.96 | $3,235.94 | $3,235.94 |
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 $81.28 Median $1,412.54 Typical High $1,698.24 | Professional | None (both parts) | $81.28 | $1,412.54 | $1,698.24 |
Providence Setting Facility Modifier None Typical Low $407.38 Median $2,511.89 Typical High $7,413.10 | Facility | None | $407.38 | $2,511.89 | $7,413.10 |
Providence Setting Professional Modifier None (both parts) Typical Low $316.23 Median $524.81 Typical High $1,737.80 | Professional | None (both parts) | $316.23 | $524.81 | $1,737.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $72.44 Typical High $199.53 | Professional | 26 · Professional part | $38.02 | $72.44 | $199.53 |
Providence Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $467.74 Typical High $1,479.11 | Professional | TC · Technical part | $239.88 | $467.74 | $1,479.11 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $234.42 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,630.78 | Facility | None | $2,344.23 | $2,344.23 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,819.70 Typical High $6,606.93 | Professional | None (both parts) | $1,148.15 | $1,819.70 | $6,606.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $275.42 | Professional | 26 · Professional part | $61.66 | $89.13 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,698.24 Typical High $6,309.57 | Professional | TC · Technical part | $1,096.48 | $1,698.24 | $6,309.57 |
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 3.6 times more in Nebraska than in Montana. 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· 17th of 51
$1,778
NE $3,162MT $871
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.