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 $33.88 Median $41.69 Typical High $1,819.70 | Facility | None | $33.88 | $41.69 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $58.88 Typical High $154.88 | Facility | TC · Technical part | $25.70 | $58.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $66.07 | Professional | None (both parts) | $33.88 | $40.74 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.75 Typical High $15.49 | Professional | 26 · Professional part | $9.33 | $11.75 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $51.29 | Professional | TC · Technical part | $22.91 | $28.84 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $23.99 | $51.29 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $186.21 Typical High $190.55 | Facility | None | $12.88 | $186.21 | $190.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $120.23 | Professional | None (both parts) | $33.88 | $38.02 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $33.88 | Professional | 26 · Professional part | $10.47 | $12.88 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $26.92 Typical High $79.43 | Professional | TC · Technical part | $25.12 | $26.92 | $79.43 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $194.98 Typical High $331.13 | Facility | None | $67.61 | $194.98 | $331.13 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $30.20 Median $42.66 Typical High $70.79 | Professional | None (both parts) | $30.20 | $42.66 | $70.79 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.45 Typical High $22.39 | Professional | 26 · Professional part | $10.23 | $14.45 | $22.39 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.18 Typical High $48.98 | Professional | TC · Technical part | $19.95 | $28.18 | $48.98 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $56.23 | Professional | None (both parts) | $38.90 | $53.70 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $275.42 Typical High $676.08 | Facility | None | $70.79 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $30.20 | $40.74 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.59 Typical High $23.44 | Professional | 26 · Professional part | $9.33 | $12.59 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.84 Typical High $54.95 | Professional | TC · Technical part | $21.38 | $28.84 | $54.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $25.70 Median $47.86 Typical High $64.57 | Professional | None | $25.70 | $47.86 | $64.57 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $13.49 | Professional | 26 · Professional part | $8.91 | $10.72 | $13.49 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $38.02 Typical High $51.29 | Professional | TC · Technical part | $16.98 | $38.02 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $91.20 | Professional | None | $37.15 | $44.67 | $91.20 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.02 Typical High $26.92 | Professional | 26 · Professional part | $8.91 | $12.02 | $26.92 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $43.65 Typical High $100.00 | Professional | TC · Technical part | $30.20 | $43.65 | $100.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $229.09 | $229.09 | $309.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | TC · Technical part | $213.80 | $213.80 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $30.20 Typical High $40.74 | Professional | None (both parts) | $12.30 | $30.20 | $40.74 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $194.98 Typical High $602.56 | Facility | None | $47.86 | $194.98 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $30.20 Median $40.74 Typical High $79.43 | Professional | None (both parts) | $30.20 | $40.74 | $79.43 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $20.42 | Professional | 26 · Professional part | $9.77 | $12.59 | $20.42 |
Providence Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.84 Typical High $48.98 | Professional | TC · Technical part | $21.38 | $28.84 | $48.98 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
United Setting Facility Modifier None Typical Low $34.67 Median $50.12 Typical High $50.12 | Facility | None | $34.67 | $50.12 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $36.31 Typical High $77.62 | Professional | None (both parts) | $26.92 | $36.31 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $20.89 | Professional | 26 · Professional part | $8.71 | $10.47 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.70 Typical High $56.23 | Professional | TC · Technical part | $18.62 | $25.70 | $56.23 |
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 $18.62 Median $33.11 Typical High $87.10 | Facility | 52 · Reduced service | $18.62 | $33.11 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.41 Median $13.18 Typical High $34.67 | Facility | 53 · Discontinued | $7.41 | $13.18 | $34.67 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $29.51 Median $52.48 Typical High $125.89 | Facility | FX · Film X-ray | $29.51 | $52.48 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $18.62 Typical High $20.89 | Professional | 52 · Reduced service | $15.85 | $18.62 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.41 Typical High $8.32 | Professional | 53 · Discontinued | $6.46 | $7.41 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $29.51 Typical High $33.11 | Professional | FX · Film X-ray | $25.70 | $29.51 | $33.11 |
Where California sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 32nd of 51
$41.69
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.