How much rates vary
Facilitymedian $1,047 · 10th to 90th $219 to $2,089Professionalmedian $282 · 10th to 90th $191 to $1,349
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 $218.78 Median $245.47 Typical High $2,238.72 | Facility | None | $218.78 | $245.47 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $501.19 Typical High $1,202.26 | Facility | TC · Technical part | $194.98 | $501.19 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $245.47 | Professional | None (both parts) | $186.21 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.39 Typical High $23.44 | Professional | 26 · Professional part | $19.95 | $22.39 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $223.87 | Professional | TC · Technical part | $165.96 | $194.98 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $1,047.13 Typical High $1,096.48 | Facility | None | $26.30 | $1,047.13 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $1,023.29 | Professional | None (both parts) | $199.53 | $251.19 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $102.33 | Professional | 26 · Professional part | $25.70 | $28.84 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $794.33 | Professional | TC · Technical part | $177.83 | $213.80 | $794.33 |
Blue Shield Setting Facility Modifier None Typical Low $309.03 Median $1,071.52 Typical High $1,737.80 | Facility | None | $309.03 | $1,071.52 | $1,737.80 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $645.65 | Professional | None (both parts) | $186.21 | $263.03 | $645.65 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $66.07 | Professional | 26 · Professional part | $19.05 | $26.92 | $66.07 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $588.84 | Professional | TC · Technical part | $165.96 | $239.88 | $588.84 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $177.83 | $257.04 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,445.44 Typical High $2,884.03 | Facility | None | $436.52 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $645.65 | Professional | None (both parts) | $186.21 | $251.19 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $66.07 | Professional | 26 · Professional part | $19.95 | $27.54 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $575.44 | Professional | TC · Technical part | $162.18 | $223.87 | $575.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $120.23 Median $281.84 Typical High $331.13 | Professional | None | $120.23 | $281.84 | $331.13 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $26.30 Typical High $31.62 | Professional | 26 · Professional part | $12.02 | $26.30 | $31.62 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $251.19 Typical High $302.00 | Professional | TC · Technical part | $107.15 | $251.19 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $645.65 | Professional | None | $213.80 | $269.15 | $645.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $74.13 | Professional | 26 · Professional part | $22.91 | $33.11 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $707.95 | Professional | TC · Technical part | $194.98 | $302.00 | $707.95 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,778.28 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,584.89 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $1,584.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $173.78 Typical High $194.98 | Professional | None (both parts) | $22.91 | $173.78 | $194.98 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $741.31 Typical High $2,238.72 | Facility | None | $229.09 | $741.31 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $645.65 | Professional | None (both parts) | $186.21 | $239.88 | $645.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $66.07 | Professional | 26 · Professional part | $19.95 | $26.92 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $575.44 | Professional | TC · Technical part | $162.18 | $213.80 | $575.44 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $741.31 | $741.31 | $741.31 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | TC · Technical part | $660.69 | $660.69 | $660.69 |
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 $151.36 Median $229.09 Typical High $912.01 | Professional | None (both parts) | $151.36 | $229.09 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.70 Typical High $91.20 | Professional | 26 · Professional part | $18.62 | $25.70 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $199.53 Typical High $870.96 | Professional | TC · Technical part | $131.83 | $199.53 | $870.96 |
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 $109.65 Median $245.47 Typical High $588.84 | Facility | 52 · Reduced service | $109.65 | $245.47 | $588.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $100.00 Typical High $239.88 | Facility | 53 · Discontinued | $43.65 | $100.00 | $239.88 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $173.78 Median $398.11 Typical High $954.99 | Facility | FX · Film X-ray | $173.78 | $398.11 | $954.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $109.65 Typical High $123.03 | Professional | 52 · Reduced service | $91.20 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $43.65 Typical High $50.12 | Professional | 53 · Discontinued | $37.15 | $43.65 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $173.78 Typical High $199.53 | Professional | FX · Film X-ray | $147.91 | $173.78 | $199.53 |
Where California sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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· 20th of 51
$302
AK $851KY $178
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.