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 $48.98 Median $54.95 Typical High $2,238.72 | Facility | None | $48.98 | $54.95 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $95.50 Typical High $229.09 | Facility | TC · Technical part | $37.15 | $95.50 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $43.65 | $53.70 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $10.72 | $12.02 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $74.13 | Professional | TC · Technical part | $33.11 | $41.69 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $72.44 Typical High $91.20 | Professional | None (both parts) | $35.48 | $72.44 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $275.42 Typical High $288.40 | Facility | None | $13.18 | $275.42 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $162.18 | Professional | None (both parts) | $44.67 | $50.12 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $35.48 | Professional | 26 · Professional part | $12.02 | $13.18 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.02 Typical High $123.03 | Professional | TC · Technical part | $35.48 | $38.02 | $123.03 |
Blue Shield Setting Facility Modifier None Typical Low $74.13 Median $251.19 Typical High $416.87 | Facility | None | $74.13 | $251.19 | $416.87 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $39.81 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $39.81 | $56.23 | $93.33 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.45 Typical High $22.91 | Professional | 26 · Professional part | $10.23 | $14.45 | $22.91 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $70.79 | Professional | TC · Technical part | $29.51 | $41.69 | $70.79 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $58.88 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $223.87 Typical High $489.78 | Facility | None | $100.00 | $223.87 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $52.48 Typical High $104.71 | Professional | None (both parts) | $42.66 | $52.48 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $24.55 | Professional | 26 · Professional part | $10.72 | $12.59 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.90 Typical High $81.28 | Professional | TC · Technical part | $31.62 | $38.90 | $81.28 |
Contra Costa Health Setting Professional Modifier None Typical Low $38.02 Median $72.44 Typical High $97.72 | Professional | None | $38.02 | $72.44 | $97.72 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.18 Typical High $17.78 | Professional | 26 · Professional part | $9.55 | $13.18 | $17.78 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $28.84 | $58.88 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $134.90 | Professional | None | $54.95 | $66.07 | $134.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.85 Typical High $35.48 | Professional | 26 · Professional part | $11.75 | $15.85 | $35.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $158.49 | Professional | TC · Technical part | $47.86 | $67.61 | $158.49 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $346.74 | $346.74 | $457.09 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $275.42 | $275.42 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $13.49 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $13.49 | $33.11 | $58.88 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $158.49 Typical High $457.09 | Facility | None | $63.10 | $158.49 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $112.20 | Professional | None (both parts) | $42.66 | $51.29 | $112.20 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $21.88 | Professional | 26 · Professional part | $10.72 | $12.59 | $21.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.90 Typical High $72.44 | Professional | TC · Technical part | $31.62 | $38.90 | $72.44 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
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 $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 $34.67 Median $52.48 Typical High $112.20 | Professional | None (both parts) | $34.67 | $52.48 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.59 Typical High $23.99 | Professional | 26 · Professional part | $9.33 | $12.59 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $87.10 | Professional | TC · Technical part | $26.30 | $39.81 | $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 $24.55 Median $47.86 Typical High $125.89 | Facility | 52 · Reduced service | $24.55 | $47.86 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $19.05 Typical High $50.12 | Facility | 53 · Discontinued | $9.77 | $19.05 | $50.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $38.90 Median $75.86 Typical High $181.97 | Facility | FX · Film X-ray | $38.90 | $75.86 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $24.55 Typical High $27.54 | Professional | 52 · Reduced service | $20.89 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.77 Typical High $10.96 | Professional | 53 · Discontinued | $8.32 | $9.77 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $38.90 Typical High $43.65 | Professional | FX · Film X-ray | $33.11 | $38.90 | $43.65 |
Where California sits
The same service costs 4.5 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· 30th of 51
$57.54
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.