How much rates vary
Facilitymedian $759 · 10th to 90th $209 to $1,995Professionalmedian $257 · 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 $223.87 Median $257.04 Typical High $2,238.72 | Facility | None | $223.87 | $257.04 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $512.86 Typical High $1,230.27 | Facility | TC · Technical part | $199.53 | $512.86 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $223.87 Typical High $389.05 | Professional | None (both parts) | $199.53 | $223.87 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $43.65 | Professional | 26 · Professional part | $25.12 | $26.30 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $177.83 | $199.53 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $1,148.15 Typical High $1,174.90 | Facility | None | $30.90 | $1,148.15 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $891.25 | Professional | None (both parts) | $199.53 | $229.09 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $117.49 | Professional | 26 · Professional part | $30.90 | $33.88 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $776.25 | Professional | TC · Technical part | $162.18 | $190.55 | $776.25 |
Blue Shield Setting Facility Modifier None Typical Low $208.93 Median $691.83 Typical High $1,148.15 | Facility | None | $208.93 | $691.83 | $1,148.15 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $676.08 | Professional | None (both parts) | $190.55 | $275.42 | $676.08 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $77.62 | Professional | 26 · Professional part | $21.88 | $31.62 | $77.62 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $602.56 | Professional | TC · Technical part | $169.82 | $245.47 | $602.56 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $102.33 | $245.47 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,445.44 Typical High $2,630.27 | Facility | None | $436.52 | $1,445.44 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $630.96 | Professional | None (both parts) | $158.49 | $245.47 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $74.13 | Professional | 26 · Professional part | $23.44 | $32.36 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $218.78 Typical High $562.34 | Professional | TC · Technical part | $123.03 | $218.78 | $562.34 |
Contra Costa Health Setting Professional Modifier None Typical Low $67.61 Median $302.00 Typical High $363.08 | Professional | None | $67.61 | $302.00 | $363.08 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $31.62 Typical High $38.02 | Professional | 26 · Professional part | $7.41 | $31.62 | $38.02 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $269.15 Typical High $323.59 | Professional | TC · Technical part | $60.26 | $269.15 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $691.83 | Professional | None | $234.42 | $295.12 | $691.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.90 Typical High $89.13 | Professional | 26 · Professional part | $27.54 | $38.90 | $89.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $758.58 | Professional | TC · Technical part | $213.80 | $323.59 | $758.58 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,905.46 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,905.46 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $269.15 | $269.15 | $269.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,174.90 Typical High $1,698.24 | Professional | TC · Technical part | $1,174.90 | $1,174.90 | $1,698.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $165.96 Typical High $190.55 | Professional | None (both parts) | $30.90 | $165.96 | $190.55 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $724.44 Typical High $2,187.76 | Facility | None | $223.87 | $724.44 | $2,187.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $234.42 Typical High $630.96 | Professional | None (both parts) | $144.54 | $234.42 | $630.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $74.13 | Professional | 26 · Professional part | $23.44 | $30.90 | $74.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $194.98 Typical High $575.44 | Professional | TC · Technical part | $117.49 | $194.98 | $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 $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $645.65 | $645.65 | $645.65 |
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 $933.25 | Professional | None (both parts) | $151.36 | $229.09 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $104.71 | Professional | 26 · Professional part | $21.88 | $30.20 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $199.53 Typical High $851.14 | Professional | TC · Technical part | $131.83 | $199.53 | $851.14 |
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 $112.20 Median $251.19 Typical High $602.56 | Facility | 52 · Reduced service | $112.20 | $251.19 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $102.33 Typical High $245.47 | Facility | 53 · Discontinued | $44.67 | $102.33 | $245.47 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $181.97 Median $407.38 Typical High $977.24 | Facility | FX · Film X-ray | $181.97 | $407.38 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $112.20 Typical High $128.82 | Professional | 52 · Reduced service | $95.50 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $44.67 Typical High $51.29 | Professional | 53 · Discontinued | $38.02 | $44.67 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $181.97 Typical High $204.17 | Professional | FX · Film X-ray | $154.88 | $181.97 | $204.17 |
Where California sits
The same service costs 4.8 times more in Alaska 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· 28th of 51
$275
AK $851IN $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.