How much rates vary
Facilitymedian $617 · 10th to 90th $155 to $2,570Professionalmedian $209 · 10th to 90th $148 to $1,072
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 $181.97 Median $208.93 Typical High $2,238.72 | Facility | None | $181.97 | $208.93 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $426.58 Typical High $1,023.29 | Facility | TC · Technical part | $169.82 | $426.58 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $302.00 | Professional | None (both parts) | $154.88 | $181.97 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $21.88 | Professional | 26 · Professional part | $12.30 | $13.80 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $275.42 | Professional | TC · Technical part | $141.25 | $169.82 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $812.83 Typical High $831.76 | Facility | None | $16.60 | $812.83 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $794.33 | Professional | None (both parts) | $144.54 | $186.21 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.20 Typical High $63.10 | Professional | 26 · Professional part | $16.60 | $18.20 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $724.44 | Professional | TC · Technical part | $128.82 | $165.96 | $724.44 |
Blue Shield Setting Facility Modifier None Typical Low $158.49 Median $524.81 Typical High $912.01 | Facility | None | $158.49 | $524.81 | $912.01 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $537.03 | Professional | None (both parts) | $154.88 | $218.78 | $537.03 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.38 Typical High $39.81 | Professional | 26 · Professional part | $12.02 | $17.38 | $39.81 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $501.19 | Professional | TC · Technical part | $141.25 | $204.17 | $501.19 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $60.26 | $177.83 | $239.88 |
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 $117.49 Median $194.98 Typical High $501.19 | Professional | None (both parts) | $117.49 | $194.98 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.38 Typical High $40.74 | Professional | 26 · Professional part | $12.30 | $17.38 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $177.83 Typical High $467.74 | Professional | TC · Technical part | $100.00 | $177.83 | $467.74 |
Contra Costa Health Setting Professional Modifier None Typical Low $39.81 Median $213.80 Typical High $257.04 | Professional | None | $39.81 | $213.80 | $257.04 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $15.49 Typical High $18.62 | Professional | 26 · Professional part | $3.24 | $15.49 | $18.62 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $199.53 Typical High $239.88 | Professional | TC · Technical part | $37.15 | $199.53 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $501.19 | Professional | None | $165.96 | $208.93 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.50 Typical High $43.65 | Professional | 26 · Professional part | $13.49 | $19.50 | $43.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $239.88 Typical High $562.34 | Professional | TC · Technical part | $154.88 | $239.88 | $562.34 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,348.96 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $977.24 Typical High $1,258.93 | Professional | TC · Technical part | $977.24 | $977.24 | $1,258.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.60 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $16.60 | $138.04 | $151.36 |
Providence Setting Facility Modifier None Typical Low $181.97 Median $645.65 Typical High $3,019.95 | Facility | None | $181.97 | $645.65 | $3,019.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $107.15 Median $177.83 Typical High $524.81 | Professional | None (both parts) | $107.15 | $177.83 | $524.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.60 Typical High $41.69 | Professional | 26 · Professional part | $12.30 | $16.60 | $41.69 |
Providence Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $173.78 Typical High $478.63 | Professional | TC · Technical part | $91.20 | $173.78 | $478.63 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $549.54 | $549.54 | $549.54 |
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 $131.83 Median $181.97 Typical High $707.95 | Professional | None (both parts) | $131.83 | $181.97 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.85 Typical High $54.95 | Professional | 26 · Professional part | $12.02 | $15.85 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $165.96 Typical High $691.83 | Professional | TC · Technical part | $120.23 | $165.96 | $691.83 |
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 $91.20 Median $213.80 Typical High $512.86 | Facility | 52 · Reduced service | $91.20 | $213.80 | $512.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $85.11 Typical High $204.17 | Facility | 53 · Discontinued | $36.31 | $85.11 | $204.17 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $144.54 Median $338.84 Typical High $812.83 | Facility | FX · Film X-ray | $144.54 | $338.84 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $91.20 Typical High $104.71 | Professional | 52 · Reduced service | $77.62 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $36.31 Typical High $41.69 | Professional | 53 · Discontinued | $30.90 | $36.31 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $144.54 Typical High $165.96 | Professional | FX · Film X-ray | $123.03 | $144.54 | $165.96 |
Where California sits
The same service costs 4.3 times more in Alabama than in Indiana. 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· 25th of 51
$219
AL $562IN $132
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.