How much rates vary
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 $44.67 Median $56.23 Typical High $1,819.70 | Facility | None | $44.67 | $56.23 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $79.43 Typical High $208.93 | Facility | TC · Technical part | $30.90 | $79.43 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $45.71 Typical High $57.54 | Professional | None (both parts) | $39.81 | $45.71 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.49 Typical High $16.22 | Professional | 26 · Professional part | $13.80 | $15.49 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.90 Typical High $40.74 | Professional | TC · Technical part | $26.30 | $30.90 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $316.23 Typical High $323.59 | Facility | None | $18.20 | $316.23 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $48.98 Typical High $147.91 | Professional | None (both parts) | $30.90 | $48.98 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.62 Typical High $50.12 | Professional | 26 · Professional part | $16.98 | $18.62 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.88 Typical High $125.89 | Professional | TC · Technical part | $30.20 | $33.88 | $125.89 |
Blue Shield Setting Facility Modifier None Typical Low $81.28 Median $239.88 Typical High $407.38 | Facility | None | $81.28 | $239.88 | $407.38 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $42.66 Median $61.66 Typical High $95.50 | Professional | None (both parts) | $42.66 | $61.66 | $95.50 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $20.42 Typical High $31.62 | Professional | 26 · Professional part | $14.13 | $20.42 | $31.62 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $40.74 Typical High $64.57 | Professional | TC · Technical part | $28.84 | $40.74 | $64.57 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $97.72 | Professional | None (both parts) | $69.18 | $91.20 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $1,230.27 Typical High $2,884.03 | Facility | None | $107.15 | $1,230.27 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $114.82 | Professional | None (both parts) | $44.67 | $54.95 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.20 Typical High $36.31 | Professional | 26 · Professional part | $14.79 | $18.20 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $81.28 | Professional | TC · Technical part | $29.51 | $37.15 | $81.28 |
Contra Costa Health Setting Professional Modifier None Typical Low $45.71 Median $81.28 Typical High $109.65 | Professional | None | $45.71 | $81.28 | $109.65 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $26.92 | Professional | 26 · Professional part | $15.14 | $19.95 | $26.92 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $61.66 Typical High $83.18 | Professional | TC · Technical part | $30.90 | $61.66 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $154.88 | Professional | None | $63.10 | $75.86 | $154.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $52.48 | Professional | 26 · Professional part | $17.38 | $23.44 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $165.96 | Professional | TC · Technical part | $50.12 | $72.44 | $165.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $398.11 | $398.11 | $524.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | 26 · Professional part | $123.03 | $123.03 | $138.04 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $389.05 | Professional | TC · Technical part | $288.40 | $288.40 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.98 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $16.98 | $33.11 | $57.54 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $933.25 Typical High $2,691.53 | Facility | None | $61.66 | $933.25 | $2,691.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $123.03 | Professional | None (both parts) | $44.67 | $54.95 | $123.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.78 Typical High $30.90 | Professional | 26 · Professional part | $14.79 | $17.78 | $30.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.88 Typical High $77.62 | Professional | TC · Technical part | $28.84 | $33.88 | $77.62 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $131.83 | $131.83 | $131.83 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $57.54 Typical High $123.03 | Professional | None (both parts) | $35.48 | $57.54 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $34.67 | Professional | 26 · Professional part | $12.88 | $18.20 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $38.90 Typical High $87.10 | Professional | TC · Technical part | $22.91 | $38.90 | $87.10 |
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 $22.39 Median $38.90 Typical High $102.33 | Facility | 52 · Reduced service | $22.39 | $38.90 | $102.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $15.85 Typical High $41.69 | Facility | 53 · Discontinued | $8.91 | $15.85 | $41.69 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $36.31 Median $63.10 Typical High $151.36 | Facility | FX · Film X-ray | $36.31 | $63.10 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $22.91 Typical High $28.84 | Professional | 52 · Reduced service | $19.95 | $22.91 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.33 Typical High $11.48 | Professional | 53 · Discontinued | $7.94 | $9.33 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $37.15 Typical High $46.77 | Professional | FX · Film X-ray | $33.11 | $37.15 | $46.77 |
Where California sits
The same service costs 5.6 times more in Alaska than in Utah. 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· 36th of 51
$61.66
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.