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 $46.77 Median $52.48 Typical High $2,238.72 | Facility | None | $46.77 | $52.48 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $74.13 Typical High $194.98 | Facility | TC · Technical part | $31.62 | $74.13 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $81.28 | Professional | None (both parts) | $42.66 | $50.12 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.85 Typical High $21.38 | Professional | 26 · Professional part | $13.80 | $15.85 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $60.26 | Professional | TC · Technical part | $28.18 | $35.48 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $38.90 | Professional | None (both parts) | $28.18 | $28.18 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $223.87 Typical High $234.42 | Facility | None | $17.78 | $223.87 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $48.98 Typical High $131.83 | Professional | None (both parts) | $31.62 | $48.98 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $46.77 | Professional | 26 · Professional part | $15.49 | $17.78 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $32.36 Typical High $102.33 | Professional | TC · Technical part | $28.84 | $32.36 | $102.33 |
Blue Shield Setting Facility Modifier None Typical Low $93.33 Median $281.84 Typical High $436.52 | Facility | None | $93.33 | $281.84 | $436.52 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $38.02 Median $53.70 Typical High $91.20 | Professional | None (both parts) | $38.02 | $53.70 | $91.20 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.95 Typical High $30.90 | Professional | 26 · Professional part | $14.13 | $19.95 | $30.90 |
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 $48.98 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $48.98 | $66.07 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $275.42 Typical High $676.08 | Facility | None | $81.28 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $38.02 | $53.70 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $33.11 | Professional | 26 · Professional part | $14.45 | $17.78 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $25.70 | $36.31 | $67.61 |
Contra Costa Health Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $79.43 | Professional | None | $39.81 | $57.54 | $79.43 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.60 Typical High $20.42 | Professional | 26 · Professional part | $14.79 | $16.60 | $20.42 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $42.66 Typical High $57.54 | Professional | TC · Technical part | $25.12 | $42.66 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $109.65 | Professional | None | $44.67 | $53.70 | $109.65 |
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 $34.67 Median $48.98 Typical High $114.82 | Professional | TC · Technical part | $34.67 | $48.98 | $114.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $380.19 | Professional | None (both parts) | $316.23 | $316.23 | $380.19 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $269.15 | $295.12 | $295.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $17.78 | $33.11 | $50.12 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $194.98 Typical High $602.56 | Facility | None | $61.66 | $194.98 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $38.02 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $38.02 | $53.70 | $100.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $29.51 | Professional | 26 · Professional part | $14.45 | $17.78 | $29.51 |
Providence Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $64.57 | Professional | TC · Technical part | $25.12 | $36.31 | $64.57 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $100.00 | $100.00 | $100.00 |
United Setting Facility Modifier None Typical Low $50.12 Median $67.61 Typical High $67.61 | Facility | None | $50.12 | $67.61 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $95.50 | Professional | None (both parts) | $37.15 | $45.71 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $29.51 | Professional | 26 · Professional part | $12.59 | $14.79 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $66.07 | Professional | TC · Technical part | $25.12 | $30.20 | $66.07 |
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 $23.44 Median $40.74 Typical High $107.15 | Facility | 52 · Reduced service | $23.44 | $40.74 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $16.22 Typical High $42.66 | Facility | 53 · Discontinued | $9.33 | $16.22 | $42.66 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $37.15 Median $79.43 Typical High $169.82 | Facility | FX · Film X-ray | $37.15 | $79.43 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $23.44 Typical High $26.30 | Professional | 52 · Reduced service | $20.42 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.33 Typical High $10.47 | Professional | 53 · Discontinued | $8.13 | $9.33 | $10.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $38.02 Typical High $42.66 | Professional | FX · Film X-ray | $32.36 | $38.02 | $42.66 |
Where California sits
The same service costs 4.0 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· 33rd of 51
$52.48
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.