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 $85.11 Median $95.50 Typical High $2,238.72 | Facility | None | $85.11 | $95.50 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $151.36 Typical High $363.08 | Facility | TC · Technical part | $58.88 | $151.36 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $85.11 Typical High $95.50 | Professional | None (both parts) | $74.13 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $27.54 | Professional | 26 · Professional part | $23.44 | $26.30 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $67.61 | Professional | TC · Technical part | $50.12 | $58.88 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $416.87 Typical High $426.58 | Facility | None | $29.51 | $416.87 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $275.42 | Professional | None (both parts) | $69.18 | $89.13 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $107.15 | Professional | 26 · Professional part | $26.92 | $29.51 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $194.98 | Professional | TC · Technical part | $46.77 | $60.26 | $194.98 |
Blue Shield Setting Facility Modifier None Typical Low $194.98 Median $660.69 Typical High $1,047.13 | Facility | None | $194.98 | $660.69 | $1,047.13 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $67.61 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $67.61 | $97.72 | $162.18 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $25.12 | $36.31 | $53.70 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $60.26 Typical High $107.15 | Professional | TC · Technical part | $42.66 | $60.26 | $107.15 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $89.13 | $117.49 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $616.60 Typical High $1,412.54 | Facility | None | $190.55 | $616.60 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $69.18 | $104.71 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $56.23 | Professional | 26 · Professional part | $23.99 | $28.18 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $75.86 Typical High $131.83 | Professional | TC · Technical part | $45.71 | $75.86 | $131.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $67.61 Median $104.71 Typical High $141.25 | Professional | None | $67.61 | $104.71 | $141.25 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $38.90 | Professional | 26 · Professional part | $25.12 | $30.20 | $38.90 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $77.62 Typical High $104.71 | Professional | TC · Technical part | $42.66 | $77.62 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $199.53 | Professional | None | $81.28 | $97.72 | $199.53 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $77.62 | Professional | 26 · Professional part | $25.70 | $34.67 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $204.17 | Professional | TC · Technical part | $61.66 | $89.13 | $204.17 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | None (both parts) | $630.96 | $630.96 | $691.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | 26 · Professional part | $204.17 | $204.17 | $208.93 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $489.78 | $489.78 | $489.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $79.43 | Professional | None (both parts) | $27.54 | $33.11 | $79.43 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $436.52 Typical High $1,288.25 | Facility | None | $109.65 | $436.52 | $1,288.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $69.18 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $69.18 | $104.71 | $194.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $51.29 | Professional | 26 · Professional part | $25.70 | $28.18 | $51.29 |
Providence Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $72.44 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $72.44 | $123.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $602.56 | Facility | None | $389.05 | $389.05 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $83.18 Typical High $173.78 | Professional | None (both parts) | $69.18 | $83.18 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $53.70 | Professional | 26 · Professional part | $20.89 | $27.54 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $123.03 | Professional | TC · Technical part | $46.77 | $56.23 | $123.03 |
7 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 $42.66 Median $75.86 Typical High $199.53 | Facility | 52 · Reduced service | $42.66 | $75.86 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $30.20 Typical High $72.44 | Facility | 53 · Discontinued | $16.98 | $30.20 | $72.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $69.18 Median $120.23 Typical High $288.40 | Facility | FX · Film X-ray | $69.18 | $120.23 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $42.66 Typical High $47.86 | Professional | 52 · Reduced service | $37.15 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $19.05 | Professional | 53 · Discontinued | $14.79 | $16.98 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $69.18 Typical High $77.62 | Professional | FX · Film X-ray | $58.88 | $69.18 | $77.62 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $85.11 Median $117.49 Typical High $234.42 | Professional | 50 · Both sides | $85.11 | $117.49 | $234.42 |
Where California sits
The same service costs 3.7 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· 31st of 51
$97.72
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.