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 $39.81 Median $50.12 Typical High $2,238.72 | Facility | None | $39.81 | $50.12 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $72.44 Typical High $190.55 | Facility | TC · Technical part | $31.62 | $72.44 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $48.98 Typical High $87.10 | Professional | None (both parts) | $39.81 | $48.98 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $25.12 | Professional | 26 · Professional part | $12.02 | $13.80 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $34.67 Typical High $66.07 | Professional | TC · Technical part | $28.18 | $34.67 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $239.88 Typical High $251.19 | Facility | None | $15.14 | $239.88 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $45.71 Typical High $128.82 | Professional | None (both parts) | $30.90 | $45.71 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $41.69 | Professional | 26 · Professional part | $13.80 | $15.14 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.11 Typical High $97.72 | Professional | TC · Technical part | $29.51 | $33.11 | $97.72 |
Blue Shield Setting Facility Modifier None Typical Low $75.86 Median $245.47 Typical High $389.05 | Facility | None | $75.86 | $245.47 | $389.05 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $35.48 Median $50.12 Typical High $85.11 | Professional | None (both parts) | $35.48 | $50.12 | $85.11 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $25.70 | Professional | 26 · Professional part | $11.22 | $16.22 | $25.70 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.88 Typical High $58.88 | Professional | TC · Technical part | $23.99 | $33.88 | $58.88 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $70.79 Typical High $83.18 | Professional | None (both parts) | $52.48 | $70.79 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $275.42 Typical High $676.08 | Facility | None | $89.13 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $50.12 Typical High $93.33 | Professional | None (both parts) | $38.02 | $50.12 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $28.84 | Professional | 26 · Professional part | $11.75 | $14.45 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $67.61 | Professional | TC · Technical part | $25.70 | $35.48 | $67.61 |
Contra Costa Health Setting Professional Modifier None Typical Low $38.02 Median $63.10 Typical High $85.11 | Professional | None | $38.02 | $63.10 | $85.11 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $20.42 | Professional | 26 · Professional part | $12.02 | $15.14 | $20.42 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $46.77 Typical High $63.10 | Professional | TC · Technical part | $25.70 | $46.77 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $117.49 | Professional | None | $47.86 | $57.54 | $117.49 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $40.74 | Professional | 26 · Professional part | $13.49 | $18.20 | $40.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $54.95 Typical High $125.89 | Professional | TC · Technical part | $38.02 | $54.95 | $125.89 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $407.38 | $436.52 | $436.52 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | 26 · Professional part | $102.33 | $102.33 | $107.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $295.12 | $426.58 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.85 Median $33.11 Typical High $53.70 | Professional | None (both parts) | $15.85 | $33.11 | $53.70 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $194.98 Typical High $602.56 | Facility | None | $57.54 | $194.98 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $38.02 Median $50.12 Typical High $100.00 | Professional | None (both parts) | $38.02 | $50.12 | $100.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.13 Typical High $24.55 | Professional | 26 · Professional part | $11.75 | $14.13 | $24.55 |
Providence Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $61.66 | Professional | TC · Technical part | $25.70 | $35.48 | $61.66 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
United Setting Facility Modifier None Typical Low $34.67 Median $60.26 Typical High $60.26 | Facility | None | $34.67 | $60.26 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $46.77 Typical High $100.00 | Professional | None (both parts) | $33.88 | $46.77 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.45 Typical High $27.54 | Professional | 26 · Professional part | $10.72 | $14.45 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $72.44 | Professional | TC · Technical part | $23.44 | $33.11 | $72.44 |
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 $39.81 Typical High $95.50 | Facility | 52 · Reduced service | $22.39 | $39.81 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $16.22 Typical High $42.66 | Facility | 53 · Discontinued | $8.91 | $16.22 | $42.66 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $35.48 Median $79.43 Typical High $169.82 | Facility | FX · Film X-ray | $35.48 | $79.43 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $22.39 Typical High $25.12 | Professional | 52 · Reduced service | $19.05 | $22.39 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.91 Typical High $10.00 | Professional | 53 · Discontinued | $7.59 | $8.91 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $35.48 Typical High $39.81 | Professional | FX · Film X-ray | $30.20 | $35.48 | $39.81 |
Where California sits
The same service costs 4.1 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· 35th of 51
$50.12
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.